Denials Coordinator – Hospital Billing Patient Financial Services – Corporate 42nd Street – Full-Time – Days
About The Position
A hospital denial coordinator manages and resolves denied insurance claims to help the hospital recover revenue. Key responsibilities include analyzing claim denial reasons, identifying denial trends, sharing trends and findings with owner areas, coordinating the appeals process, collaborating with departments to prevent future denials, maintaining documentation including issue logs with updates, denied dollars and resolutions, and acting as a resource for staff regarding denial-related issues and payer rules. This person will escalate issues to management if deadlines are missed, payer responses are not received, or when barriers or process gaps are identified.
Requirements
- Manages and resolves denied insurance claims
- Analyzes claim denial reasons
- Identifies denial trends
- Shares trends and findings with owner areas
- Coordinates the appeals process
- Collaborates with departments to prevent future denials
- Maintains documentation including issue logs with updates, denied dollars and resolutions
- Acts as a resource for staff regarding denial-related issues and payer rules
- Escalates issues to management if deadlines are missed, payer responses are not received, or when barriers or process gaps are identified
Responsibilities
- Analyzing claim denial reasons
- Identifying denial trends
- Sharing trends and findings with owner areas
- Coordinating the appeals process
- Collaborating with departments to prevent future denials
- Maintaining documentation including issue logs with updates, denied dollars and resolutions
- Acting as a resource for staff regarding denial-related issues and payer rules
- Escalating issues to management if deadlines are missed, payer responses are not received, or when barriers or process gaps are identified
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
