SHARED SERVICES CENTER-FRANKLIN TN
Denial Coordinator (REMOTE)
Franklin
,
Tennessee
Full-time
Job Description
(Full Time, Remote)
The Denials Coordinator is responsible for working assigned denials and appeals claims by communicating with all necessary departments to identify and resolve denials trends and issues.
As a Denials Coordinator at CHS Shared Service Center - Nashville, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and other elective benefit programs.
Essential Duties and Responsibilities
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 withdisabilities to perform the essential functions.
Required Education and Experience
Preferred
Required Knowledge/Abilities
Required Computer Skills:
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
(Full Time, Remote)
The Denials Coordinator is responsible for working assigned denials and appeals claims by communicating with all necessary departments to identify and resolve denials trends and issues.
As a Denials Coordinator at CHS Shared Service Center - Nashville, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and other elective benefit programs.
Essential Duties and Responsibilities
- 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 withdisabilities to perform the essential functions.
Required Education and Experience
- High school diploma or equivalent
- Minimum of one year experience in a healthcare setting
Preferred
- Working knowledge of the revenue cycle
Required Knowledge/Abilities
- Working knowledge of denials and appeal processes including a basic understanding of contracts and payer policies
- Working knowledge of current medical terminology
- Ability to communicate effectively both verbal and written
- Ability to work independently and to meet deadlines
Required Computer Skills:
- Working knowledge of Outlook, Microsoft Word and Excel or equivalent
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.