Coordinator, Denials Management

CorroHealth; United States; Remote; USD 70,000 - 105,000; Full time

Job summary

A leading healthcare solutions provider seeks a Coordinator for Denials Management. The role involves analyzing denials, negotiating with payers, and managing accounts. Ideal candidates will have experience in billing and strong analytical skills. This position is remote within the US, offering full-time employment with a focus on professional development.

Qualifications

• 2 years of experience in hospital related billing/follow-up.
• Knowledge of/experience working with managed care contracts.

Responsibilities

• Differentiates between clinical and technical denials.
• Contacts payer to negotiate resolution on technical denials.
• Manages assigned workload of accounts through timely follow up.

Skills

Analytical Acumen

Multi-tasking

Education

High School Diploma

Four-year degree

Tools

MS Office

Job description

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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.

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

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.

Location: Remote Within US Only

Required Schedule: Monday - Friday, 8:00 AM - 4:30 PM EST

• Differentiates between clinical and technical denials through EOB’S, denial letters/payer correspondence and data mining.
• Knowledgeable in reviewing UB04 and/or HCFA 1500 Forms.
• Reviews timely filing guidelines regarding the appeals process.
• Contacts payer 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

• High School Diploma or equivalent. Four-year degree preferred.
• 2 years of 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 multi-tasking skills.
• Proficiency with MS Office.
  
  

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.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Project Management and Information Technology

• Industries

  Hospitals and Health Care

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