Denials Management Coordinator

Job Summary

To support healthcare providers in managing their revenue cycle challenges, the full-time remote Denials Management Coordinator will differentiate between clinical and technical denials, negotiate with payers, and handle appeals processes while managing a portfolio of accounts.

Key responsibilities:

• Differentiates between clinical and technical denials through EOBs, denial letters, and data mining
• Contacts payers to negotiate resolutions on technical denials and appeals
• Manages assigned workload of accounts with timely follow-up and accurate record keeping

Required qualifications:

• High School Diploma or equivalent; four-year degree preferred
• At least 2 years of experience in hospital-related billing or follow-up
• Knowledge of UB04 and/or HCFA 1500 forms
• Experience with managed care contracts and client issue resolution management
• Proficiency with MS Office and strong analytical skills