Denial Coordinator (REMOTE)

Revenue Cycle Service Center
Antioch, TN Remote Full Time
POSTED ON 5/11/2022 CLOSED ON 10/28/2022

Job Posting for Denial Coordinator (REMOTE) at Revenue Cycle Service Center

Essential Duties and Responsibilities: include the following. Other duties may be assigned.
  • Complete monthly denial logs in required timeframe
  • Attend monthly denial meetings with facilities as assigned
  • Communicate with all necessary departments to identify and resolve denial trends and issues
  • Review and analyze all denial trends and issues as assigned
  • Maintain working knowledge of all payer guidelines and requirements as they relate to denials and appeals.
  • Monitor and work all denials and appeals as assigned
  • Properly track and document all denial and appeal activity.
  • Maintain all logs, account notes and system records as assigned
  • Review outpatient RAC denials and appeal as needed
  • Monitor AB rebills that needed on RAC accounts and post recovery or denial adjustments as needed
  • Monitor assigned duties in C360, and ensure proper handling of all RAC accounts

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed
below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.

Knowledge/Abilities:

Required
  • Working knowledge of denials and appeal processes including a basic understanding of contracts and payer policies
  • Working knowledge of current medical terminology
  • Working knowledge of the revenue cycle
  • Ability to communicate effectively both verbal and written
  • Ability to work independently and to meet deadlines
Preferred
  • Minimum of one year experience in a healthcare setting
  • Working knowledge of the revenue cycle

Reasoning Ability: Ability to define problems, collect data, validate data, establish facts, and draw valid conclusions

Computer Skills:


Required
  • Working knowledge of Outlook, Microsoft Word and Excel or equivalent

Certificates and Licenses: None required


Supervisory Responsibilities: None


Education/Experience:


Required
  • High school diploma or equivalent
  • Minimum of one year experience in a healthcare setting
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Salary.com Estimation for Denial Coordinator (REMOTE) in Antioch, TN
$47,771 to $69,199
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