Denials Coordinator – Hospital Billing Patient Financial Services – Corporate 42nd Street – Full-Time – Days

Job description

Denials Coordinator – Hospital Billing Patient Financial Services – Corporate 42nd Street – Full-Time – Days A hospital denial coordinator manages and resolves denied insurance claims to help the hospital recover revenue. Key responsibilities include analyzing claim denial reasons, identifying denial trends, sharing trends and findings with owner areas, coordinating the appeals process, collaborating with departments to prevent future denials, maintaining documentation including issue logs with updates, denied dollars and resolutions, and acting as a resource for staff regarding denial-related issues and payer rules. This person will escalate issues to management if deadlines are missed, payer responses are not received, or when barriers or process gaps are identified. Analyze Denials: - Review and investigate denied insurance claims to understand the specific reasons for denial Appeal Management: - Initiate, track, and coordinate the appeals process for denied claims, ensuring all necessary documentation and timely follow-up are completed. Trend Identification: - Analyze denial data to identify patterns and root causes of denials and underpayments. Process Improvement: - Work with...