Denials Coordinator-Case Management

Denials Coordinator-Case Management

Denials Coordinator for Case Management. Under the direct supervision of the Operations Manager of Case Management, the Denials Coordinator is responsible for monitoring denials, appeals and resolution from participating insurance carriers and working proactively to collect from insurance carriers. Will generate and process denial letters and Notice of Action (NOA) for pre-services, leveling of care and denied medical services. Maintains the denial and / or appeals electronic database. Serve as the department liaison for all denial and / or appeals issues.

Responsibilities are not limited to functions within the Case Management Assistant role and will require elements of cross training.

REQUIREMENTS : High school graduate or equivalent required. Preference will be given to applicants having prior experience with denials and appeals.

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