Denial Coordinator I

Astrana Health, Inc. • Orange, CA

15d • $20 - $24 • Hybrid

About The Position

Astrana Health is looking for a Denial Coordinator I. This role will report to a Manager - Denial and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in the office and at home on a weekly basis.

Requirements

• High School Diploma or GED
• 1+ years of experience working in the healthcare industry
• Experience using Microsoft applications such as Word, Excel, and Outlook
• Ability to communicate with multiple clients at a time

Responsibilities

• Comply with NMM and department policies and procedures to ensure timely and accurate processing of all deferrals and or denials
• Review and process daily assigned deferrals or denials (denial, modify, carve out, etc.) with a minimum of 30-40 letters per day with accuracy and quality
• Ensure daily Failed Fax Report for denials and deferrals is reviewed and letter/notification refaxed and documented in the referral
• Ensure daily monitoring of the Denial Inquiry; refax denial notification or letter, respond to the provider or interdepartmental emails, and document in the referral notes as needed
• Maintain a high level of integrity and confidentiality/patient privacy (HIPAA) of all information (written, verbal, electronic, etc.) that an employee encounters
• Perform other duties, projects, and actions as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees