Northern Arizona Healthcare · 1 day ago
Denials Administrative Specialist - Remote (see full posting for eligible states)
United States
Full-time
Remote
New Grad, Entry LevelNorthern Arizona Healthcare is seeking a Denials Administrative Specialist to assist in managing patient medical denials. The role involves tracking, monitoring, and preparing documentation for denials and appeals, as well as collaborating with various teams to ensure effective management of denials cases.
Non ProfitHealthcareHealth CareMedical
Responsibilities
Review and compile required denials documentation and submit in a timely manner to ensure payment
Track and document tasks in Midas to assist Nurse Denials Specialist in preparing and following up on cases
Assist in preparing documentation for appeal letters
Track and monitor concurrent and retrospective cases on denials spreadsheets
Assist in auditing for concurrent reviews, admission status, coding, DRG, and outpatient denials management
Assist in gathering data for performance of retrospective denials
Gather data and documentation to assist the Nurse Denials Specialist and the Physician Advisor in review of clinical denials
Request necessary documentation from physician's offices for denials cases
Assist with paperwork and follow up of self-denials cases, Code 44s, and Noridian appeal cases
Track and monitor audits of clinical information from payers, governmental agencies, etc
Provide outreach and assistance to other support staff within the department when absent or in need of additional support of their work
Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner
Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility
If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates
Completes all company mandatory modules and required job-specific training in the specified time frame
Qualification
Required
High School Diploma or GED- Required
Understanding of computers and competence in using computers and basic software programs
Preferred
Associate's Degree or some college education- Preferred
Previous experience in denials management or relatable experience- Preferred
Company
Northern Arizona Healthcare
Northern Arizona Healthcare is a healthcare organization in Northern and Central Arizona.
Founded in 1936
1001-5000 employees
H1B Sponsorship
Northern Arizona 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 (12)
2022 (2)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
David Cheney
President and Chief Executive Officer
Cliff Loader
Chief Financial Officer
Recent News
2025-11-13
Phoenix Business Journal
2025-03-06
Company data provided by crunchbase