Denial Coordinator

Greater Baltimore Medical Center (GBMC); Baltimore (MD); On-site; USD 27,000 - 41,000; Full time

Job summary

GBMC HealthCare in Baltimore, MD, seeks an insurance claims reviewer to maintain and coordinate daily insurance correspondence under general supervision. The role involves coordinating resources to proactively thwart denials and applying AHIMA, CMS, and AHA coding guidelines to ensure accurate adjudication.

Candidates typically have 2–4 years of experience in medical claims review and medical terminology expertise, with strong typing skills and the ability to work independently in a fast-paced

Qualifications

• Specialized training in coding/abstracting procedures and medical terminology.
• Experience with medical claims adjudication.
• Training obtained through seminars and college courses.

Responsibilities

• Maintain and coordinate oversight of daily insurance correspondence.
• Coordinate resources to proactively thwart potential denials.

Skills

Medical terminology

Coding guidelines

Computer literacy

Research ability

Conflict resolution

Typing speed

Independent work

Education

Coding/Abstracting Training

Job description

Under general supervision, maintains and coordinates oversight of daily insurance correspondence. Coordinates a variety of resources to proactively thwart potential denials.

Education:

Specialized training in coding/abstracting procedures, medical insurance claims adjudication, and medical terminology obtained through seminars and college courses.

Experience:

2-4 years' experience with medical claims review, medical transcription

Skills:

• Thorough knowledge of medical terminology
• Extensive knowledge of coding guidelines as set forth by AHIMA, CMS and AHA.
• Skill in using computers for data collection, reporting, communication and personal productivity applications
• Investigative nature, research ability, and outstanding organization abilities
• Adept at conflict resolution
• Ability to type with speed and accuracy
• Ability to work with ambiguity and independently with minimal supervision

Patient & Workplace Safety:

• Employee has knowledge and understanding of patient and workforce safety as it relates to job duties.

Patient Population:

• Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable.

Pay Range

$19.92 - $29.87

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.