Denials and Appeals Coordinator

Job Summary

Managing denials and appeals processes, the full-time Denials and Appeals Coordinator will track, resolve, and analyze claims denials to ensure timely reimbursement while working remotely.

Key responsibilities

• Monitor assigned queues and ensure follow-up dates are current across various systems
• Analyze denials to determine actions, complete appeals, and document all activities accurately
• Identify trends in denials to suggest improvements and 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
• Certified Revenue Cycle Specialist (CRCS) - AAHAM preferred