Denials Management Coordinator

Job Summary

A company is looking for a Coordinator, Denials Management.

Key Responsibilities

• Differentiates between clinical and technical denials through EOBs, denial letters, and data mining
• Contacts payers to negotiate resolution on technical denials and manages appeals using necessary documentation
• Evaluates appeal outcomes for next steps and manages assigned workload through timely follow-up and accurate record-keeping

Required Qualifications

• High School Diploma or equivalent; a four-year degree is preferred
• 2 years of experience in hospital-related billing or follow-up field
• Knowledge of or experience working with managed care contracts
• Experience in customer support or client issue resolution management
• Proficiency with MS Office