Coordinator, Denials Management

CorroHealth, Inc.; Oregon; Hybrid; USD 30,000 - 48,000; Full time

Benefits offered by this job

Medical/Dental/Vision Insurance

401k matching

PTO 80 hours annually

Job summary

CorroHealth, Inc. is seeking a billing specialist to support Revenue Cycle operations. This role focuses on differentiating clinical and technical denials, reviewing UB04/HCFA forms, and handling appeals with payer communications to optimize reimbursements.

The position is remote within the United States, with standard 8:00 AM to 5:00 PM EST hours from Monday to Friday. A four-year degree or equivalent experience is preferred, along with strong analytical and communication skills.

Qualifications

• Four-year degree preferred or equivalent experience in hospital-related billing/follow-up.
• Experience with managed care contracts.
• Experience with customer support/client issue resolution management.
• Strong analytical acumen.
• Strong communication skills.
• Strong multi-tasking skills.
• Proficiency with MS Office.

Responsibilities

• Differentiates between clinical and technical denials through EOBs, denial letters, payer correspondence and data mining.
• Reviews UB04 and/or HCFA 1500 Form.
• Reviews timely filing guidelines regarding the appeals process.
• Contacts payer by phone to negotiate resolution on technical denials.
• Appeals denials using letters, medical records and supporting documentation; may involve on-staff clinicians.
• Evaluates appeal outcomes for next steps and logs funds recovered.

Skills

Analytical skills

Communication skills

Multi-tasking

Education

Four-year degree or equivalent experience

Tools

MS Office

Job description

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

JOB SUMMARY

Job Summary: CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any client's evolving needs. We work with 300+ providers in 25+ states and bring a client-focused approach that makes each provider feel like our only client. CorroHealth offers the following products and services: Denials Management and Complex Claim Resolution, A/R Outsourcing, Patient Access, Revenue Cycle Technology, and Consulting.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.

About this position: Location: Remote (Within US Only) Required Schedule : Monday - Friday, 8:00 AM - 5:00 PM EST Overview: CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any client's evolving needs.

Essential Duties and Responsibilities

• Differentiates between clinical and technical denials through EOB'S, denial letters/payer correspondence and data mining.
• Knowledgeable in reviewing UB04 and/or HCFA 1500 Form
• Reviews timely filing guidelines regarding the appeals process.
• Contacts payer via phone to negotiate resolution on technical denials.
• Appeals denials using all means necessary (appeal letters, medical records and other supporting documentation, utilization of on-staff clinicians).
• Evaluates appeal outcome for next steps (logs recovered funds, supports uphold decision or initiates 2nd level appeal).
• Manages assigned workload of accounts through timely follow up and accurate record keeping.

Minimum Qualifications & Competencies

• Four-year degree preferred or equivalent experience in hospital related billing/follow-up field
• Knowledge of/experience working with managed care contracts
• Experience working with customer support/client issue resolution management
• Strong analytical acumen
• Strong Communication Skills
• Strong multi-tasking skills
• Proficiency with MS Office

What we offer

• Competitive Hourly Salary
• Medical/Dental/Vision Insurance
• Equipment provided
• 401k matching (up to 2%)
• PTO: 80 hours accrued, annually
• 9 paid holidays
• Tuition reimbursement
• Professional growth and more!

PHYSICAL DEMANDS

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

A job description is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.