Coordinator, Denials Management

CorroHealth•MS-Remote, MS

1d•Remote

About The Position

CorroHealth is a partner to healthcare providers, supporting revenue cycle challenges through customized services, consulting, and technology. The Coordinator, Denials Management reviews and works healthcare claims denials, distinguishing clinical from technical denials and pursuing resolution through payer contact, appeals, and supporting documentation. The position manages an assigned account workload with timely follow-up and accurate records. This is a remote position within the United States, scheduled Monday through Friday, 8:00 AM to 5:00 PM EST. The role requires regular computer work, coordination and manual dexterity, and the ability to manage interruptions and multiple deadlines.

Requirements

Four-year degree preferred, or equivalent experience in a hospital-related billing or follow-up field.
Knowledge of or experience working with managed care contracts.
Experience in customer support or client issue resolution management.
Strong analytical acumen.
Strong communication skills.
Strong multitasking skills.
Proficiency with MS Office.

Nice To Haves

Four-year degree.

Responsibilities

Differentiate clinical and technical denials using EOBs, denial letters, payer correspondence, and data mining.
Review UB-04 and/or HCFA 1500 forms.
Review timely filing guidelines for the appeals process.
Contact payers by phone to negotiate resolution of technical denials.
Appeal denials using appeal letters, medical records, supporting documentation, and on-staff clinicians as needed.
Evaluate appeal outcomes to determine next steps, including logging recovered funds, supporting an upheld decision, or initiating a second-level appeal.
Manage assigned accounts through timely follow-up and accurate record keeping.