Denials & Appeals Coordinator

McLaren Health Care; Lansing (MI); On-site; USD 40,000 - 56,000; Full time

Job summary

McLaren Health Care in Michigan is seeking a Denials Team Assistant to support the coordination of CMS and third-party payer denials and appeals, and to handle clerical tasks that keep the department running smoothly.

The role involves determining inpatient vs. observation based on medical necessity, tracking denial outcomes, communicating with A/R, denials, and finance teams, and attending meetings with agendas and minutes. High school diploma and 2 years of clerical experience required.

Qualifications

• High school diploma required.
• Two years of clerical experience required or equivalent.
• Experience in healthcare with medical terminology preferred.

Responsibilities

• Assists the Denials Team in coordinating CMS and third-party payer denials/appeals.
• Supports determination of inpatient vs. observation based on medical necessity.
• Maintains knowledge of hospital billing processes and assists with retrospective denial management activities.

Skills

Clerical experience

Medical terminology

Education

High school diploma

Job description

McLaren Health Care in Michigan is seeking a Denials Team Assistant to support the coordination of CMS and third-party payer denials and appeals, and to handle clerical tasks that keep the department running smoothly.

The role involves determining inpatient vs. observation based on medical necessity, tracking denial outcomes, communicating with A/R, denials, and finance teams, and attending meetings with agendas and minutes. High school diploma and 2 years of clerical experience required.