Denials Management Coordinator

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