Denial Coordinator (REMOTE)

SHARED SERVICES CENTER-FRANKLIN TN • Franklin, TN

374d • Remote

About The Position

The Denial Coordinator is responsible for managing and resolving denial trends and issues within a healthcare setting. This role involves completing denial logs, attending meetings, and communicating with various departments to ensure timely resolution of denials and appeals. The position requires a solid understanding of payer guidelines and the ability to track and document denial activities effectively.

Requirements

• High school diploma or equivalent
• Minimum of one year experience in a healthcare setting
• Working knowledge of denials and appeal processes including a basic understanding of contracts and payer policies
• Working knowledge of current medical terminology
• Ability to communicate effectively both verbal and written
• Ability to work independently and to meet deadlines
• Working knowledge of Outlook, Microsoft Word and Excel or equivalent

Nice To Haves

• Working knowledge of the revenue cycle

Responsibilities

• Complete monthly denial logs in required timeframe
• Attend monthly denial meetings with facilities as assigned
• Communicate with all necessary departments to identify and resolve denial trends and issues
• Review and analyze all denial trends and issues as assigned
• Maintain working knowledge of all payer guidelines and requirements as they relate to denials and appeals
• Monitor and work all denials and appeals as assigned
• Properly track and document all denial and appeal activity
• Maintain all logs, account notes and system records as assigned
• Review outpatient RAC denials and appeal as needed
• Monitor AB rebills that needed on RAC accounts and post recovery or denial adjustments as needed
• Monitor assigned duties in C360, and ensure proper handling of all RAC accounts

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED