Denials Management Coordinator

Job Summary

To support healthcare providers in managing revenue cycle challenges, the full-time Denials Management Coordinator will differentiate between clinical and technical denials, negotiate resolutions with payers, and manage a workload of accounts remotely.

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 using various documentation
• Manages assigned accounts with timely follow-up and accurate record-keeping

Required qualifications

• Four-year degree preferred or equivalent experience in hospital-related billing/follow-up
• Knowledge of or experience with managed care contracts
• Experience in customer support or client issue resolution management
• Strong analytical acumen
• Proficiency with MS Office