Denial Coordinator
Denial Coordinator
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Responsibilities
Identifies cases for potential denial and utilizes the organizations electronic systems and medical record in addition to gathering information from appropriate department staff to avoid a denial determination.
Performs documentation and analysis of denials appeals and status information.
Monitors appealed denials to ensure timely payment or rejection of the appeal.
Enters required information into the tracking system upon receipt of denial or request from Payor/Contractor.
Prepares monthly organization denials reports to be communicated in Denials Meetings.
Participates and leads discussions with payors related to resolution of complex claims and reimbursement policy changes.
Performs other duties as assigned.
Qualifications
Cert Required in lieu of degree: Certified Revenue Cycle Representative (CRCR) or comparable certification through American Association of Healthcare Administrative Mgmt. with 7 years experience
Required Experience:
IC
Employment Type
Full-Time
