Denial and Appeals Coordinator

Job Summary

Managing denials and appeals in a remote capacity, the full-time Denial and Appeals Coordinator will track, resolve, and analyze cases to ensure timely reimbursement while maintaining knowledge of payer guidelines and systems.

Key responsibilities

• Monitor assigned queues and ensure follow-up dates are current across various systems
• Analyze denials to determine appropriate actions and file appeals as necessary
• Identify trends in denials and suggest improvements to reduce future claim issues

Required qualifications

• H.S. Diploma or GED required; Associate Degree in Health Information Management preferred
• 1-3 years of experience in medical billing, revenue cycle, or claims denials and appeals processing required
• Prior experience with revenue cycle processes in a hospital or physician office setting required
• Strong knowledge of payer guidelines and medical billing practices
• Proficiency in claim management systems such as Artiva, HMS, Hyland, and BARRT