Denials Coordinator

Related keywords: remote job south carolinaremote job north carolinamedical billing and coding remote job

This page contains product affiliate links.

Overview

The Denials Coordinator position at Marshfield Clinic Health System is a remarkable opportunity for individuals eager to contribute to the healthcare sector. The organization places great emphasis on innovation and teamwork, creating an environment where employees can thrive while supporting vital missions aimed at improving patients' lives. This remote position invites qualified candidates to apply and become part of a dedicated team driving excellence in healthcare billing processes.

Job Expectations

The Denials Coordinator will take on pivotal responsibilities, focusing on the review and analysis of inpatient and outpatient denials. This role is designed to minimize the organization's revenue loss by effectively managing denied claims through proactive management strategies. Therefore, the primary focus is on improving the denial rate across the organization. The Denials Coordinator is instrumental in achieving these objectives through precise monitoring and assessment of claims and working collaboratively with various stakeholders.

Key Responsibilities

In detail, the Denials Coordinator will be responsible for the following:

• Reviewing and analyzing all denials received for inpatient and outpatient services.
• Developing and implementing effective denial management strategies.
• Collaborating with cross-functional teams to resolve any issues leading to denied claims.
• Conducting detailed assessments of denial trends to recommend and execute improvements.
• Maintaining accurate records of denials and resolutions to track improvement metrics.
• Communicating effectively with both internal teams and external stakeholders to facilitate a smooth resolution process.
• Keeping abreast of insurance regulations and compliance requirements that affect the denial process.

Required Skills and Qualifications

Candidates interested in applying for the Denials Coordinator role need to meet specific qualifications, which ensure they possess the necessary skills to fulfill these responsibilities effectively. The qualifications include:

Education

• Minimum Required: No specific educational requirements beyond a high school diploma or equivalent.
• Preferred/Optional: Higher education credentials may enhance a candidate’s profile but are not mandatory.

Experience

• Minimum Required: At least three years of experience in denial management within a healthcare setting is mandatory. Candidates should have demonstrated knowledge of billing processes, insurance regulations, and the ability to work under pressure.
• Additional desired skills include proficiency in medical billing, coding, and a deep understanding of insurance processes.
• Candidates must exhibit excellent analytical reasoning, problem-solving capabilities, and outstanding written and verbal communication skills. Teamwork and interpersonal skills are also essential to achieve effective collaboration.

Certifications and Licenses

• There are no specific licenses or certifications required for this position. However, having relevant credentials may strengthen a candidate's application.

Salary Information

The job posting does not specify a salary range, which suggests that candidates may need to negotiate compensation based on their experience and qualifications during the interview process. It's beneficial for candidates to conduct market research or initiate salary discussions early to align expectations.

Work Environment

The position offers a full-time contract, allowing employees the flexibility of remote work. The working schedule is set for Monday to Friday, 8:00 AM to 5:00 PM, providing a stable routine for individuals looking to maintain a work-life balance. The position is open to candidates residing in various states including Alabama, Alaska, Arkansas, Florida, Georgia, Idaho, Illinois (except Chicago), Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Mississippi, Missouri, Nebraska, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, West Virginia, Wisconsin, and Wyoming. However, applicants from states not listed will not be considered for employment.

Company Goals and Ethics

Marshfield Clinic Health System is committed to providing accessible, affordable, and compassionate healthcare. With a strong commitment to supporting both patients and team members, the organization actively seeks individuals who prioritize the needs of patients and demonstrate a dedication to upholding ethical standards. The company adheres to the principles of Equal Opportunity/Affirmative Action, emphasizing a workplace that is free from discrimination and inclusive of diverse backgrounds.

Conclusion

In summary, the Denials Coordinator role at Marshfield Clinic Health System serves as a vital function in enhancing healthcare delivery through meticulous management of denied claims. Suitable candidates with the required experience, skills, and a passion for the healthcare industry are encouraged to apply and contribute to the flourishing mission of Marshfield Clinic Health System.

This job offer was originally published on himalayas.app