Denials Strategy & Appeals Coordinator

Memorial Health System - Ohio; Reno (OH); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Benefits package

Job summary

Memorial Health System - Ohio in Reno, OH is seeking a Denials Management Coordinator to review denials, identify patterns, and drive process improvements.

The role requires a high school diploma or GED and 2+ years in a healthcare setting, with preference for coding/denials experience. Strong analytical, negotiation, and communication skills are essential, along with solid computer proficiency and teamwork.

Qualifications

• High School Diploma or GED required.
• Minimum of two years of previous experience in a healthcare-related position required.
• Experience in coding, medical necessity, registration, insurances, and precertification processes and/or denials preferred.
• Minimum of 2 years of experience or formal education in basic ICD10 coding, medical terminology, Anatomy/pathophysiology, and disease process preferred.

Responsibilities

• Analyzes all denials for patterns.
• Works with front line staff and educate on proper processes.
• Ability to verbalize to insurance carriers and write appeal details to support additional payment on denied claims.
• Accurately and consistently documents the results of all denial reviews in the hospital information system.
• Prepares reports as required by management regarding audit results, process improvement recommendations and systemic payment errors.
• Makes monthly observations and recommendations to prevent future denials.
• Assumes all other duties and responsibilities as necessary.

Skills

Analytical skills

Negotiation skills

Communication skills

Computer skills

Teamwork

Documentation

Education

High School Diploma or GED

2+ years healthcare experience

Job description

Memorial Health System - Ohio in Reno, OH is seeking a Denials Management Coordinator to review denials, identify patterns, and drive process improvements.

The role requires a high school diploma or GED and 2+ years in a healthcare setting, with preference for coding/denials experience. Strong analytical, negotiation, and communication skills are essential, along with solid computer proficiency and teamwork.