Professional Denials Coordinator

Overview ONE TEAM. ALL HEART. At Oklahoma Heart Hospital (OHH), patient care is at the heart of everything we do. This physician owned hospital was designed by cardiologists to ensure that patients receive expert, individualized care with utmost comfort.

OHH offers a competitive benefits program to all team members from the first day of employment. Top Tier Benefit Packages : Medical, Dental, and Vision 401 (k) plan Paid Time Off (PTO) Extended Medical Benefit (EMB) OHH Financial Services : 7800 NW 85th Terrace, OKC OK 73132 Shift : Monday - Friday Days Position is NOT REMOTE Responsibilities The Professional Denials Coordinator will work on targeted insurance denials to improve collections and reduce open balances.

They will deal with inpatient notices of admission, authorizations, and subsequent denials. The Professional Denials Coordinator will assist with first and second level appeals under the Denials Manager's guidance.

The Denials Coordinator will assist in identifying trends and finding root causes to prevent future denials, providing high-impact findings to the Denials Manager.

Works under the guidance of a Denials Manager and Denials RN to prepare appeals on denials. Defend and appeal claims, including researching root cause, collecting required information, adjusting the account as necessary, resubmitting claims and all appropriate follow up activities.

Submits requests to clarify clinical documentation for accurate coding of denials. Works with Denials Analyst and Underpayments Coordinator to call attention to areas of opportunity or system / process errors.

Qualifications Education : High school graduate or equivalent preferred. Experience : Minimum of two (2) years in professional / clinic Insurance Follow-Up or Denials.

Clinical Denials experience is preferred; Epic experience is a plus but not required. CPC is strongly encouraged. Working Knowledge : Insurance collections and denials, with an emphasis on professional coding is preferred.

Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation.

Be part of the future of cardiac care. Learn more about diversity at Oklahoma Heart Hospital.

The Professional Denials Coordinator will work on targeted insurance denials to improve collections and reduce open balances.

They will deal with inpatient notices of admission, authorizations, and subsequent denials. The Professional Denials Coordinator will assist with first and second level appeals under the Denials Manager's guidance.

The Denials Coordinator will assist in identifying trends and finding root causes to prevent future denials, providing high-impact findings to the Denials Manager.

Works under the guidance of a Denials Manager and Denials RN to prepare appeals on denials. Defend and appeal claims, including researching root cause, collecting required information, adjusting the account as necessary, resubmitting claims and all appropriate follow up activities.

Submits requests to clarify clinical documentation for accurate coding of denials. Works with Denials Analyst and Underpayments Coordinator to call attention to areas of opportunity or system / process errors.

Education : High school graduate or equivalent preferred. Experience : Minimum of two (2) years in professional / clinic Insurance Follow-Up or Denials.

Clinical Denials experience is preferred; Epic experience is a plus but not required. CPC is strongly encouraged. Working Knowledge : Insurance collections and denials, with an emphasis on professional coding is preferred.

Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation.

Be part of the future of cardiac care. Learn more about diversity at Oklahoma Heart Hospital.