Coordinator, Denials Management jobs in United States
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CorroHealth · 7 hours ago

Coordinator, Denials Management

CorroHealth is a partner of choice to healthcare providers in support of their Revenue Cycle challenges. The Coordinator, Denials Management will be responsible for differentiating between clinical and technical denials, managing contracts, and appealing denials to ensure resolution.

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Responsibilities

Differentiates between clinical and technical denials through EOB'S, denial letters/payer correspondence and data mining
Identifies payer and hospital’s managed care contracts
Reviews managed care contracts against application of rates, provisions and terms
Reviews timely filing guidelines regarding the appeals process
Contacts payers to negotiate resolution on technical denials
Appeals denials using all 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 uphold decision or initiates 2nd level appeal)
Manages assigned workload of accounts through timely follow up and accurate record keeping

Qualification

Healthcare experienceManaged care contractsDenial managementAnalytical skillsMS Office proficiencyCustomer support experienceMulti-tasking skillsCommunication skills

Required

Prior experience in healthcare including reviewing EOBs & UB04 forms
Ability to review denials and determine if it is clinical or technical
Differentiates between clinical and technical denials through EOB'S, denial letters/payer correspondence and data mining
Identifies payer and hospital's managed care contracts
Reviews managed care contracts against application of rates, provisions and terms
Reviews timely filing guidelines regarding the appeals process
Contacts payers to negotiate resolution on technical denials
Appeals denials using all 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 uphold decision or initiates 2nd level appeal)
Manages assigned workload of accounts through timely follow up and accurate record keeping
Strong analytical acumen
Strong multi-tasking skills
Proficiency with MS Office
Excellent oral and written communication skills

Preferred

Four-year degree preferred or equivalent experience in hospital related billing/follow-up field
Benefits/fund administration experience preferred
Knowledge of/experience working with managed care contracts
Experience working with customer support/client issue resolution management

Benefits

Medical/Dental/Vision Insurance
Equipment provided
401k matching (up to 2%)
PTO: 80 hours accrued, annually
9 paid holidays
Tuition reimbursement
Professional growth and more!

Company

CorroHealth

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CorroHealth is a provider of revenue cycle management solutions for healthcare organizations, including health systems, and health plans.

Funding

Current Stage
Late Stage
Total Funding
$376.27M
Key Investors
Patient Square Capital
2024-10-24Private Equity
2023-10-05Private Equity· $50M
2022-05-17Series Unknown· $16.6M

Leadership Team

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Patrick Leonard
Chief Executive Officer
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Becky Blake
Chief People Officer
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Company data provided by crunchbase