Remote Denial and Appeals Coordinator

Job Summary

Managing, tracking, and resolving denials and appeals, the full-time Remote Denial and Appeals Coordinator will ensure timely reimbursement by leveraging in-depth knowledge of payer guidelines and systems while identifying trends to improve claim outcomes.

Key Responsibilities

• Monitors assigned queues and duties across various systems to ensure all follow-up dates are current
• Analyzes denials to determine appropriate actions and completes appeals or routes cases for clinical appeals as needed
• Files and monitors appeals to resolve payer denials, documenting all activity accurately and maintaining logs and system records

Required Qualifications

• H.S. Diploma or GED required
• Associate Degree or higher 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
• Certified Revenue Cycle Specialist (CRCS) - AAHAM preferred