CorroHealth is looking for a Coordinator, Denials Management to help clients exceed their financial health goals. In this remote role, you will be responsible for differentiating between clinical and technical denials, managing appeals processes, and negotiating resolutions with payers, all while working within US time zones.
What You'll Do
- Differentiate between clinical and technical denials through EOBs, denial letters, payer correspondence, and data mining.
- Identify payer and hospital managed care contracts.
- Review managed care contracts against the application of rates, provisions, and terms.
- Review timely filing guidelines regarding the appeals process.
- Contact payers to negotiate resolution on technical denials.
- Appeal denials using all means necessary, including appeal letters, medical records, supporting documentation, and utilization of on-staff clinicians.
- Evaluate appeal outcome for next steps, logging recovered funds, supporting upheld decisions, or initiating second-level appeals.
- Manage assigned workload of accounts through timely follow-up and accurate record keeping.
What We're Looking For
- A four-year degree is preferred, or equivalent experience in a hospital-related billing or follow-up field.
- Knowledge of and experience working with managed care contracts.
- Experience working with customer support or client issue resolution management.
- Strong analytical acumen.
- Strong multi-tasking skills.
- Proficiency with MS Office.
- Excellent oral and written communication skills.
Nice to Have
- Benefits or fund administration experience.
Technical Stack
- MS Office
Benefits & Compensation
- Medical, Dental, and Vision Insurance
- Equipment provided
- 401k matching up to 2%
- PTO: 80 hours accrued annually
- 9 paid holidays
- Tuition reimbursement
- Professional growth and more
Work Mode
This is a remote position that requires you to work within US time zones.
CorroHealth is an equal opportunity employer. We build long-term careers by investing in you and seek to create an environment that cultivates your professional development and personal growth.
