Denials Coordinator (Remote) (marshfieldclinichealthsystems)

Job Description

JOB SUMMARY

The Denials Coordinator reviews and analyzes all inpatient and outpatient denials. This individual will play a crucial role in minimizing revenue loss by efficiently managing and resolving denied claims through proactive denial management strategies to improve the organization denial rate. The Denials Coordinator position requires a strong understanding of healthcare billing processes, insurance regulations, and excellent communication skills.

JOB QUALIFICATIONS

EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: None

Preferred/Optional: None

EXPERIENCE 

Minimum Required:  Three years of experience in denial management within a healthcare setting. Demonstrated understanding of healthcare billing processes, insurance regulations, and excellent communication skills. Proficient knowledge of medical billing, coding, and insurance processes. Excellent analytical acumen and problem-solving skills. Excellent written and verbal communication skills. Team-orientated with strong interpersonal skills.

Preferred/Optional: None

CERTIFICATIONS/LICENSES 

The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required: None

Preferred/Optional: None

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare.  Successful applicants will listen, serve and put the needs of patients and customers first.

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.  This is a condition of employment.  Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.