SHARED SERVICES CENTER-FRANKLIN TN-posted about 1 year ago
Full-time • Entry Level
Remote • Franklin, TN

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.

  • 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
  • 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
  • Working knowledge of the revenue cycle
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