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 resolutions on technical denials and manages the appeals process
• Evaluates appeal outcomes and manages assigned workload with timely follow-up and accurate record keeping

Required Qualifications

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