Froedtert Health · 3 months ago
DENIAL COORDINATOR, FCH - PATIENT FINANCIAL SERVICES
Menomonee Falls, WI
Full-time
Onsite
Senior Level
$24.05/hr - $38.48/hr
5+ years expFroedtert Health is a regional health network supporting a shared mission of patient care, innovation, medical research, and education. The Denial Coordinator is responsible for collecting, analyzing, and distributing denial and write-off data for various payers while implementing process improvements for denial and write-off reduction strategies.
FitnessHealth CareHospitalMedical
Responsibilities
Responsible for collecting, analyzing, and distributing denial and write off data for federal, state and commercial payers
Identifies trends and issues related to denials and write offs
Works with other departments including Admitting, Health Information Management (HIM), Case Management, clinical staff, Resource Management and Patient Financial Services (PFS) to implement process improvements for denial and write off reduction strategies
Other duties as assigned
Qualification
Required
Minimum of five years of hospital billing office, or utilization review or coding experience in a hospital setting is required
Bachelor's Degree is required
In lieu of degree equivalent relevant hospital experience is required. Relevant experience would include: team lead or supervisor experience in a hospital billing office, extensive experience leading denial management activities including report writing, leading workgroup activities related to denials, implementing denial reduction tactics, and tracking of outcomes over time
Prior job history should include experience that would be commonly gained through bachelors degree education including writing competency and public presentation
Analysis and Project management for Denials and Claims, Report writing knowledge, and comfortable presenting In front of C-level executives
Microsoft Office applications, Document Imaging, Midas, Patient Accounting systems, Knowledge of medical terminology and coding
Knowledge of the revenue cycle, payer claim adjudication process and payer denial reasons
Knowledge of managed care contracts and government billing (Medicare & Medicaid) as it applies to reimbursement and denials, appropriate medical necessity documentation in the medical record, ICD-9 codes that apply to CMS's LCD and NCD coverage, CMS and commercial payor regulations and medical necessity criteria for inpatient and outpatient LOC
Preferred
Experience in denial management is preferred
Benefits
Paid time off
Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
Academic Partnership with the Medical College of Wisconsin
Referral bonuses
Retirement plan - 403b
Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available
Company
Froedtert Health
Froedtert Health is a health system that provides cost-effective health care to residents in Wisconsin.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknown2023-04-11Acquired
Leadership Team
Maureen McNally
Vice President Governance & Government Relations, Strategic Advisor to the CEO
Carmo Martella
Chief Technology Officer
Recent News
2025-08-23
BizTimes Milwaukee
2025-04-14
Company data provided by crunchbase