Coordinator Revenue Cycle Denials

OSF HealthCare•Peoria, IL

2d•Remote

About The Position

The Revenue Cycle (RC) Denials Coordinator is responsible for timely management of complex non-clinical denials. Understands payer requirements and payer appeal process in order to effectively reach resolution and overturn the denial for payment. Responsible for identifying root cause and solutions for denial prevention that will be shared with leadership for appropriate execution, education, and training as necessary.

Requirements

Associate's degree and 2 years' experience in Revenue Cycle healthcare functions OR High School Diploma or Equivalent and 4 years' experience in Revenue Cycle healthcare functions.
Healthcare Financial Management Association (HFMA) Certified Revenue Cycle Representative (CRCR) certification required within 12 months of hire.
Excellent interpersonal and communication skills.
Solid computer skills, including proficiency with Microsoft software.
Strong analytical and problem solving skills, with the ability to be detail oriented.
Ability to work independently.

Nice To Haves

Advanced knowledge of CPT4, ICD9/10, HCPCS, and modifiers.
Knowledge of medical terminology.
Experience in the Prior Authorization Process.

Responsibilities

Timely management of complex non-clinical denials.
Understand payer requirements and payer appeal process to effectively reach resolution and overturn denials for payment.
Identify root cause and solutions for denial prevention.
Share identified root causes and solutions with leadership for appropriate execution, education, and training.