Denials Coordinator - Knoxville, United States - The University of Tennessee Medical Center

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    Full/PartFull
    Description

    Job Detail

  • Job Title:Denials Coordinator
  • Department:Patient Accounts
  • Full/Part Time:Full
  • Req Number:UHS-30613
  • Position Summary:

    The Denial Coordinator diligently organizes, recovers and resolves open accounts receivables that have denied. This individual will utilize multiple tools and systems to analyze and execute the daily duties of revenue cycle payer follow up. This position has a direct correlation to the daily level of cash flow for the organization. The in-depth field knowledge and expertise in managed care and government rules/regulations is a specialty skill that is acquired through on the job training, accounts receivable experience, and keeping abreast of ongoing payer specific changes through provider manuals, monthly/quarterly updates from the payers, payer websites and contracts.

    Position Qualification:

  • Prior Revenue Cycle experience (insurance or healthcare environment) with proven experience in the healthcare insurance arena or denials.
  • Researching and understanding multiple payer policies
  • Coding guidelines
  • Microsoft Office Tools
  • Navigate efficiently within multiple systems
  • Customer service (internal and external)
  • Ability to work independently and prioritize workload
  • Possesses critical decision making
  • Understanding other department processes to research our denials, both with in the revenue cycle and direct patient care.