DENIALS COORDINATOR

SUMMARY OF JOB:

The Denials Coordinator/Hospital AR is responsible to resolve insurance payer denials by working closely with the Care Management, Patient Access, and Hospital AR teams to achieve cash recovery and A/R resolution goals, using current available technology. Acts as a team leader in supporting the Hospital AR team in A/R resolution and cash goals. Responsible for providing weekly/monthly status reporting of denial activity.

CONNECTING TO MISSION:

All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship and Collaboration are present in our interactions with one another and in the services we provide.

RECRUITMENT REQUIREMENTS:

High school diploma or GED. Associates/Bachelor’s degree preferred.

Experience in medical billing or healthcare accounts receivable experience;

Knowledge of third party payer contracting language and reimbursement terms.

Knowledge of medical terminology, ICD10, CPT, and HCPC coding

Familiar with multiple (widely used) healthcare patient accounting/billing systems.

Proficiency with Excel, MS Office Suite, Internet Explorer, and Database Management application software.

Ability to communicate in English, both written and verbal. Additional Languages are preferred.

Ability to multi-task and accurately process high volumes of work

Ability to establish and maintain effective working relationships with patients, employees and the public

Strong organizational and time management skills. Assertive in resolving unpaid claims.

EOE