Denial Management Coordinator

Methodist Healthcare; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated professional to enhance denial management processes. This role involves overseeing projects aimed at reducing denials, collaborating with leadership, and developing tools for financial data collection. The ideal candidate will have a strong background in Revenue Cycle Management and possess exceptional organizational and communication skills. Join a passionate team committed to delivering high-quality care and making a meaningful impact in the community. If you are ready to embrace the Power of One and contribute to a culture of excellence, this opportunity is for you.

Qualifications

• 5-7 years of experience in Revenue Cycle Management.
• Strong communication skills for effective interaction with staff and physicians.

Responsibilities

• Oversee Denial Management Action Team Project.
• Develop a system to track and trend root causes for denials.

Skills

Organizational Skills

Communication Skills

Education

High School Diploma or Equivalent

Technical Degree or Diploma in Medical Billing and Coding

Tools

Financial Data Collection Tools

Job description

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.

Responsible for denial management activities and identify areas of continued process improvements to ensure further decrease in new denials, final write off denials, and pre-bill denials. Works and coordinates with leadership, Physician Alignment Leadership and staff members on process improvement opportunities. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

A Brief Overview
Responsible for denial management activities and identify areas of continued process improvements to ensure further decrease in new denials, final write off denials, and pre-bill denials. Works and coordinates with leadership, Physician Alignment Leadership and staff members on process improvement opportunities. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.


What you will do

• Oversee and drive Denial Management Action Team Project
• Develop and facilitate a system to track and trend root cause for denials
• Assist in the development of financial data collection and measurement tools
• Provide education and training as needed

Education/Formal Training Requirements

• High School Diploma or Equivalent
• Technical Degree or Diploma Medical Billing and Coding

Work Experience Requirements

• 5-7 years Revenue Cycle Management

Licenses and Certifications Requirements

• Preferred: Certified Coding Specialist-Physician-based - American Health Information Management Association
• Preferred: Certified Professional Coder - American Academy of Professional Coders

Knowledge, Skills and Abilities

• Strong organizational skills.
• Strong communication skills for the purpose of communicating with physicians, managers and staff while maintaining a high level of quality and compliant work.

Supervision Provided by this Position

• There are no supervisory or lead responsibilities assigned to this job

Physical Demands

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
• Must have good balance and coordination.
• The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.

Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.