denials Coord

Henry Mayo Newhall Memorial Hospital Valencia, CA
Job Summary:

Under the direct supervision of the Director of Business Services, the Denial Management Coordinator (DMC) is responsible for daily coordination and management of denials received from payers on patient accounts. This includes but is not limited to logging and tracking all denials received into a centralized database, working with responsible individuals within the organization, including physicians, to respond to denials within established timelines, and ensuring denials response and appeals are prepared in a complete and high-quality manner. Runs and prepares regular reports to identify activity and trends. Works with departments to reduce denials.

Licensure and Certification:

Current California LVN license preferred

Education and Experience:

Minimum of high school diploma with preference of Associated Degree

Minimum of two (2) years medical work experience in insurance billing, coding, collecting and/or denial resolution, preferably in an acute care facility

REQ ID 21356