Coordinator, Denials Management

reputed company: Our purpose is to help clients reputed company their financial health goals. Across the reimbursement cycle, our reputed company solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.  We build long-term careers by reputed company in YOU. We reputed company to create an environment that cultivates your reputed company development and personal reputed company, as we reputed company your reputed company is our reputed company.   JOB reputed company: Job reputed company: reputed company is the partner of choice to reputed company providers in support of their reputed company Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any reputed company’s evolving needs. We work with 300+ providers in 25+ states and bring a reputed company-reputed company approach that makes reputed company provider feel like our only reputed company. reputed company offers the following products and services: Denials Management and reputed company Claim reputed company, A/R Outsourcing, Patient reputed company, reputed company Cycle Technology, and Consulting. ESSENTIAL DUTIES AND RESPONSIBILITIES:  Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may reputed company reputed company or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in reputed company Member’s performance objectives as outlined by reputed company Member’s immediate Leadership Team Member. About this position: Location: Remote (reputed company US Only) Required Schedule: Monday - Friday, 8:00 AM - 4:30 PM EST The ideal candidate will have at least 2 years' experience differentiating between clinical and technical denials through EOB’S, denial letters/payer correspondence and data mining and be knowledgeable and have worked with UB04 and/or HCFA 1500 Forms and be comfortable contacting payers to negotiate reputed company on denials. Essential Duties & Responsibilities: Differentiates between clinical and technical denials through EOB'S, denial letters/payer correspondence and data mining. Identifies payer and hospital’s managed care reputed company. Reviews managed care reputed company against application of rates, provisions and terms. Reviews reputed company filing guidelines regarding the appeals process. Contacts payers to negotiate reputed company on technical denials. Appeals denials using reputed company means necessary (appeal letters, medical records and other supporting documentation, utilization of on-staff clinicians). Evaluates appeal outcome for next steps (logs recovered funds, supports reputed company decision or initiates 2nd level appeal). Manages assigned workload of accounts through reputed company follow up and accurate record keeping. Qualifications: Four-year degree preferred or equivalent experience in hospital reputed company billing/follow-up field Benefits/fund administration experience preferred. Knowledge of/experience working with managed care reputed company. Experience working with customer support/reputed company issue reputed company management. Strong analytical acumen. Strong multi-tasking skills. Proficiency with MS Office. Excellent oral and written communication skills.  reputed company offer: Competitive reputed company salary Medical/Dental/reputed company Insurance 401k program PTO: 80 hours accrued, annually 9 reputed company holidays Tuition reimbursement Equipment provided reputed company reputed company and more! PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions as described. Regular eye-hand coordination and reputed company dexterity is required to operate office equipment. The ability to reputed company work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be reputed company to lift and reputed company material weighing up to 20 lbs. Team Member may experience elevated reputed company of stress during periods of increased activity and with work entailing multiple deadlines. A job reputed company is only intended as a reputed company and is only part of reputed company Member’s function. reputed company has reviewed this job reputed company to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of reputed company functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Apply To This Job