Payer Audit & Denials Recovery Coordinator

UCHealth University of Colorado Health; Denver (CO); On-site; USD 57,000 - 86,000; Full time

Benefits offered by this job

3-Year Incentive Bonus

Annual Merit Pay Increase

Market reviews

Job summary

UCHealth University of Colorado Health in Denver is seeking a Denials Management professional to help recover potential revenue by analyzing payer denials and managing appeals. This onsite role requires collaboration with legal counsel and health information management to ensure timely and accurate denials processing.

The position requires an Associate’s Degree in Nursing or healthcare field, 3 years in healthcare coding or acute care nursing with utilization/case management or denial management

Qualifications

• Associate’s Degree in Nursing or healthcare related field.
• 3 years of healthcare coding experience for inpatient and outpatient hospitals OR 3 years of experience in acute care nursing with 1 year of Utilization or Case Management experience OR denial management experience.
• BLS through the American Heart Association or the American Red Cross CPR for the Professional Rescuer; card in-hand before start date; valid through 60 days after hire.

Responsibilities

• Analyzes data to recover potential loss in revenue from payer denials; determines if appeals should be filed and manages denied appeals within payer guidelines.
• Coordinates response of stakeholders in payer audits including legal counsel and health information management.
• Analyzes denial issues and identifies trends; provides feedback for workflow improvements to leadership.

Skills

Healthcare coding experience

Utilization / Case Management

Education

Associate’s Degree in Nursing or healthcare related field

Job description

UCHealth University of Colorado Health in Denver is seeking a Denials Management professional to help recover potential revenue by analyzing payer denials and managing appeals. This onsite role requires collaboration with legal counsel and health information management to ensure timely and accurate denials processing.

The position requires an Associate’s Degree in Nursing or healthcare field, 3 years in healthcare coding or acute care nursing with utilization/case management or denial management