Coordinator Denials Management

Job Summary

A company is looking for a Coordinator, Denials Management.

Key Responsibilities:

• Differentiate between clinical and technical denials through EOB's, denial letters/payer correspondence, and data mining
• Identify payer and hospital's managed care contracts
• Review managed care contracts against application of rates, provisions, and terms

Qualifications:

• Four-year degree preferred or equivalent experience in hospital related billing/follow-up field
• Benefits/fund administration experience preferred
• Knowledge of/experience working with managed care contracts
• Experience working with customer support/client issue resolution management
• Strong analytical acumen