Coordinator, Denials Management

CorroHealth, Inc.; United States; Remote; USD 30,000 - 41,000; Full time

Benefits offered by this job

Health Insurance

401k Matching

PTO 80 hrs

Job summary

CorroHealth, Inc. is seeking a Coordinator, Denials Management to support revenue cycle operations remotely across the United States. The role differentiates between clinical and technical denials, reviews UB04/HCFA 1500 forms, and handles filing guidelines and payer communications.

You will negotiate payer resolutions, prepare appeals with supporting documentation, track outcomes, and maintain precise records while managing a busy workload with strong analytical and communication skills.

Qualifications

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

Responsibilities

• Differentiate clinical vs. technical denials via EOBs, denial letters and payer correspondence.
• Review UB04 and/or HCFA 1500 forms.
• Review timely filing guidelines for appeals process.
• Contact payers by phone to negotiate denials resolutions.
• Appeal denials using letters, medical records and supporting documentation.
• Evaluate appeal outcomes and determine next steps; log recovered funds and potential second-level appeals.
• Manage assigned workload with timely follow-up and accurate record keeping.

Skills

Bachelor's degree

Managed care

Customer support

Analytical skills

Communication skills

Multi-tasking

MS Office

Education

Four-year degree or equivalent experience in hospital billing/follow-up

Tools

MS Office

Job description

Coordinator, Denials ManagementWe use cookies to make the safest and most effective website possible.# Careers## Coordinator, Denials ManagementApply: US - Remote: Full time: Posted 2 Days Ago: JR106671**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.