Full Time

Wood County Hospital•Meriden, CT

About The Position

Elevate your career at Wood County Hospital, where you're not just a number – you're a vital part of a team making a real difference. Denial Coordinator / Central Billing Office / Full Time The Denial Coordinator reviews, analyzes, and appeals insurance denials. This role ensures that denials are worked, overturned, and prevented in a timely manner, working closely with coding, clinical, and billing departments to improve clean claim rates.

Requirements

High school diploma required

Responsibilities

Correct claim edits
Reconcile daily claims file
Resolve front end rejection from payers and clearinghouse
Review and appeal backend denials, identifying trends by payer, specialty, and denial codes for root cause analysis
Recommend procedure or system functionality updates to reduce preventable denials
Identify denial trends and collaborate with internal teams to prevent recurrence
Generate denial reports and assist leadership in monitoring denial related KPIs
Draft detailed appeal letters, gather supporting documentation including but not limited to payer policies, clinical documentation, and medical necessity information
Collaborate with payer representatives to address denial patterns
Maintain accurate documentation of appeal actions in practice management EMR system
Track appeals submitted to ensure timely payer response and overturning of denial