Denials Coordinator

TRINITY HEALTH•Minot, ND

1d•$24 - $36•Onsite

About The Position

The Denials Coordinator coordinates, monitors, and supports denial prevention and resolution across hospital and professional billing operations. The role identifies denial trends, analyzes root causes, coordinates corrective actions, and facilitates collaboration among revenue cycle departments, clinical teams, and third-party payers. It supports reduced preventable denials and avoidable write-offs, improved reimbursement, and faster cash collections within the organization's Integrated Revenue Cycle model. The position serves as a liaison among Patient Access, Authorizations, Health Information Management, Coding, Clinical Documentation Integrity, Hospital Billing, Professional Billing, and Patient Financial Services. It coordinates denial resolution and appeals, monitors deadlines and payer requirements, prepares denial reports and performance summaries, and shares findings and recommendations with revenue cycle leadership. The coordinator also supports process improvement, education, compliance, and technology initiatives. The role works under the direction of revenue cycle leadership and ordinarily has no direct supervisory responsibilities.

Requirements

Minimum of 3 years of healthcare revenue cycle experience.
Experience working with Medicare, Medicaid, and commercial insurance payers.
Strong understanding of hospital and professional billing processes.
Knowledge of payer reimbursement methodologies, claim denials, appeals, and timely filing requirements.
Ability to analyze denial trends and identify operational root causes.
Strong organizational, analytical, and problem-solving skills.
Excellent written and verbal communication skills.
Ability to collaborate effectively with clinical, financial, and operational departments.
Proficiency with electronic health records, billing systems, Microsoft Excel, and reporting tools.
Ability to prioritize multiple assignments and meet established deadlines.
Detail-oriented, with a strong commitment to accuracy, accountability, and follow-through.
Ability to work independently while supporting team-based initiatives.
Licenses and certifications are not required.

Nice To Haves

Associate degree in Healthcare Administration, Business Administration, Health Information Management, or a related field; equivalent combinations of education and relevant healthcare revenue cycle experience may be considered.
Experience in billing, denials management, authorizations, coding, or insurance follow-up.
Experience in a hospital or integrated healthcare system.
Prior experience with denial reporting, appeals, or process improvement.

Responsibilities

Coordinate daily denial management activities across hospital and professional billing operations.
Monitor denied claims for trends, recurring issues, and improvement opportunities; identify high-dollar, high-volume, and recurring denials for investigation or escalation.
Facilitate timely denial resolution with billing, coding, authorization, clinical departments, internal teams, and external payers.
Assist in developing and implementing standardized denial management workflows, and monitor denial aging and appeal deadlines.
Conduct root-cause analysis of operational, technical, clinical, and payer-related denial causes.
Identify preventable denials involving registration, eligibility, authorizations, medical necessity, documentation, coding, and billing.
Collaborate with departmental leadership on corrective action plans, monitor their effectiveness, and support denial prevention and first-pass claim improvement.
Serve as a liaison among Patient Access, Authorizations, HIM, Coding, CDI, Hospital Billing, Professional Billing, and other revenue cycle departments.
Participate in interdisciplinary denial review meetings and payer-specific workgroups, and support cross-training and workflow improvement.
Coordinate appeals, including timely submission, supporting documentation, follow-up, and tracking outcomes.
Monitor payer appeal requirements, deadlines, and reimbursement policies; help escalate unresolved or recurring payer issues.
Support payer meetings by preparing denial trends, examples, and supporting data.
Prepare and maintain denial reports, dashboards, and performance summaries, including denial rates, dollars, appeal outcomes, aging, resolution time, write-offs, recoveries, and cash collections.
Present findings and recommendations to revenue cycle leadership and assist with departmental goals and performance targets.
Ensure denial management activities follow applicable regulations, payer requirements, and organizational policies; identify and escalate potential compliance concerns.
Maintain confidentiality and follow HIPAA and organizational privacy requirements.
Provide feedback and education on denial causes and prevention; assist with procedures, reference materials, and training resources.
Communicate payer policy changes and participate in system optimization, automation, and technology improvement initiatives.
Contribute to reducing preventable denials, avoidable write-offs, denial-related accounts receivable, and resolution times while improving appeal success, reimbursement recovery, first-pass acceptance, collaboration, and cash flow.