Denial Coordinator
Posted on: 5 Mar 2021
Tucson, AZ
Job Description
Job Description
This position is responsible for managing the maximization of reimbursement by identifying contractual variances between posted and expected reimbursement for managed care, government contracts, and other various payors. This responsibility encompasses contractual reimbursement analysis and communication of payment discrepancies to internal and external departments.
POSITION PURPOSE
This position is responsible for managing the maximization of reimbursement by identifying contractual variances between posted and expected reimbursement for managed care, government contracts, and other various payors. This responsibility encompasses contractual reimbursement analysis and communication of payment discrepancies to internal and external departments.
ESSENTIAL JOB FUNCTIONS:
* Identifying trends in denials
* Research and identify payment discrepancies from various sources
* Compile and analyze data to make recommendations
* Review contract validation, updates, and interpretation
* Resolve unpaid claims in an effective and timely fashion
* Other duties as assigned
EDUCATION:
* High school or equivalent
EXPERIENCE:
* Minimum of 2 years of hospital revenue cycle experience, particularly working with claim denials and writing appeals
* Knowledge of CPT, HCPCS, DRG and revenue codes
* Must possess intermediate to advanced computer skills
* Must have an understanding of medical terminology
Community Health Systems
Franklin, TN
Community Health Systems is a Fortune 500 company based in Franklin, Tennessee. It was the largest provider of general hospital healthcare services in the United States in terms of number of acute care facilities. As of December 31, 2016, it owns, leases or operates 158 hospitals in 22 states.
In August 2015, the company announced plans to spin off 38 hospitals and its management and consulting subsidiary, Quorum Health Resources, into a new publicly traded company called Quorum Health Corporation. The company completed the spinoff of Quorum Health Corporation on April 29, 2016. Quorum owns or leases hospitals across 16 states, primarily in cities or counties with populations of 50,000 or less. It is listed on the New York Stock Exchange under the ticker symbol: QHC.
On October 3, 2016, CHS was removed from the S&P Midcap 400 and added to the S&P Smallcap 600. Under CEO Wayne T. Smith, the Company's stock has lost over 76% of its value since the year 2000.
-
IndustryHealthcare
-
No. of Employees120,000
-
Website
-
Jobs Posted6680
