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Denials Coordinator- Facility Denial Management

Rome, GA, United States
Job ID: 65567
Job Family: Allied Health-Tech
Status: Full Time
Shift: Day
Detailed Shift and Schedule: Days
Job Type: Regular
Department Name: 53511028341292-Facility Denial Management

Overview

The Denials Coordinator is a reimbursement specialist/payment recovery specialist position. The Coordinator is responsible for identifying underpayments, specifically denials or reductions, and working with the payers to recover the reimbursement. This will include working with the hospital's billing system and audit software as well as the hospital's managed care contracts. The Coordinator also must work with various departments within the organization, such as ancillary departments and the coding and billing department to troubleshoot and identify root cause variances in order to prevent future losses in reimbursement. These variances should be communicated via daily interaction and monthly status meetings with department manager.

The qualified candidate will possess the following:

A. Education
1. High school diploma or GED from an accredited institute is required
2. Associate's degree or some college coursework from an accredited college or university preferred

B. Experience
1. Two years of related healthcare Revenue Cycle experience, preferably within a patient access setting required.

C. Licensure/Certification
1. Certified Patient Financial Representative credentials through HFMA and/or other role appropriate certifications preferred