Coordinator, Denials Management

🔥 5 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Differentiate between clinical and technical denials through EOBs, denial letters/payer correspondence and data mining • Review UB04 and/or HCFA 1500 Forms • Review timely filing guidelines regarding the appeals process • Contact payers to negotiate resolution on technical denials • Appeal denials using appeal letters, medical records, supporting documentation and on-staff clinicians • Evaluate appeal outcomes for next steps, including logging recovered funds, supporting upheld decisions or initiating second-level appeals • Manage assigned workload of accounts through timely follow-up and accurate record keeping • Work with healthcare providers to address Revenue Cycle challenges through customized services, consulting and technology

🎯 Requirements

• Location: Remote (Within US Only) • Required schedule: Monday - Friday, 8:00 AM - 4:30 PM EST • At least 2 years' experience differentiating between clinical and technical denials through EOBs, denial letters/payer correspondence and data mining • Knowledge of and experience working with UB04 and/or HCFA 1500 Forms • Comfortable contacting payers to negotiate resolution on denials • High School Diploma or equivalent • 2 years of experience in hospital-related billing/follow-up field • Knowledge of/experience working with managed care contracts • Experience working with customer support/client issue resolution management • Strong analytical acumen • Proficiency with MS Office

🏖️ Benefits

• Competitive hourly salary • 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!