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Coordinator, Denials Management
CorroHealth. Differentiate between clinical and technical denials through EOBs, denial letters/payer correspondence and data mining .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in differentiating between clinical and technical denials, utilizing EOBs and denial letters, while effectively managing appeals processes and negotiating with payers. Proficient in handling UB04 and HCFA 1500 Forms, with strong analytical skills to evaluate outcomes and support revenue cycle management.
Highest-signal resume keywords
Clinical And Technical Denials DifferentiationUB04 And HCFA 1500 Forms ReviewPayer NegotiationRevenue Cycle ManagementAnalytical Acumen
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
EOB AnalysisDenial Letter ReviewData MiningAppeal Letter PreparationMedical Record EvaluationTimely Filing GuidelinesManaged Care Contracts KnowledgeHospital Billing ExperienceClient Issue Resolution Management
Soft Skills
Strong CommunicationProblem-Solving
Tools & Technologies
MS Office
Industry Keywords
Revenue Cycle ChallengesHealthcare ProvidersTechnical DenialsAppeals Process
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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!