Coordinator, Denials Management
About The Position
Job Summary: CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any client’s evolving needs. We work with 300+ providers in 25+ states and bring a client-focused approach that makes each provider feel like our only client. CorroHealth offers the following products and services: Denials Management and Complex Claim Resolution, A/R Outsourcing, Patient Access, Revenue Cycle Technology, and Consulting. About this Position: Location: Remote within US ONLY Required Schedule: Monday - Friday, 7:00 AM - 4:00 PM EST or 8:00 AM - 5:00 PM EST Hourly Salary: $20.00 The ideal candidate will have prior experience in healthcare including reviewing EOBs & UB04 forms. Have the ability to review denials and determine if it is clinical or technical.
Requirements
- 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.
- Strong analytical acumen.
- Strong multi-tasking skills.
- Proficiency with MS Office.
- Excellent oral and written communication skills.
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.
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!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
