Memorial Healthcare · 2 weeks ago
Denial Management Coordinator
Owosso, MI
Full-time
Onsite
Mid, Senior Level
3+ years expMemorial Healthcare is seeking a Denial Management Coordinator to serve as the primary point of contact for their Denial Management Team. This role involves processing and following up on denials to contribute to the Revenue Cycle, while providing excellent customer service and effective communication to staff and patients.
Health CareHospitalMedical
Responsibilities
Applies excellent customer service skill
Maintains confidentiality of all information at all times
Maintains operating instructions and keeps staff updated and educated
Completes work within authorized time to assure compliance
Daily work denied claims identified in Expanse through Denial Management or by denials identified through 835 payment files in Quadax or other available programs or reports
Critical thinking with the ability to validate the accuracy of the denial in accordance with insurance contracts and billing policies
Demonstrates the ability to determine correctness of charges and coding
Secure needed medical record documentation required by or requested by insurance companies when necessary to submit with claims
Work with, when necessary, the Authorization/Benefits/Verification specialists Team to obtain proper authorizations for services
Report denial trends identified to Revenue Integrity, Patient Financial Services Manager and Revenue Cycle Director
Work closely with Revenue Integrity Department in identifying payment issues based on contracts
Effectively disburse information to Patient Financial Services Manager and Director of Revenue Cycle to enable education around denials and solutions to reduce the number of denials
Work with other departments regarding coding or charge issues related to claims
Attend or participate in webinars/seminars concerning billing and reimbursement changes
Work with patients when needed to obtain resolution of accounts
Must be able to work effectively with others and complete tasks within specified or given deadlines
Demonstrates knowledge of and supports hospital mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality statements, corporate compliance plan, customer service standards, and the code of ethical behavior
Other duties as assigned
Qualification
Required
High school diploma or equivalent is required
Minimum of 3 years' experience working in a professional environment
Minimum of 3 years' experience working in Denial Management within a facility or professional practice
PC experience required
Use of multi-line phone experience required
Office Procedures required
Customer Service experience required
Previous experience as a manager, team lead or trainer – required
Open, honest and tactful communication skills
Able to travel independently throughout all Memorial Healthcare facilities
Small motor skills required for operating modern computer, office, and telephone equipment as utilized by Memorial Healthcare (MHC)
Ability to sit or stand for periods of time
Ability to work alone
Ability to give and receive accurate information through speaking and listen
Proficiency using modern office, computer and telephone equipment as used by Memorial Healthcare
Ability to enter and retrieve data from computer
Ability to pull required reports, updates and event notifications
Ability to work with or maintain the phone directory
Works with the IS and Maintenance teams to keep technology and tools functional
Detail Oriented
Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations
Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws
Ability to perform required switchboard functions
Ability to learn scheduling procedures for all routine physician office appointments and expand those when needed
Ability to perform simple accounting functions
Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals
Able to hear for work-related purposes
Ability to communication receptively and expressively in English both written and spoken, with employees, physicians, volunteers and patients
Ability to maintain self-control
Ability to listen respectfully to direct phone calls appropriately
Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication
Required to remain calm when adversity is encountered
Ability to work as a team member in all activities
Positive, cooperative and motivated attitude
Preferred
Associates degree preferred
Post high school courses in medical billing, medical terminology is preferred
Company
Memorial Healthcare
Memorial Healthcare is a 150-bed hospital and healthcare organization.
1001-5000 employees
H1B Sponsorship
Memorial Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (6)
2023 (3)
2022 (3)
2021 (1)
2020 (2)
Funding
Current Stage
Late StageLeadership Team
Brian L. Long
President/CEO
Recent News
2025-09-30
Seattle TechFlash
2025-09-02
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