Job Description

Job Description

Job Title : Denial Management Coordinator

Position Summary

A Denial Management Coordinator is responsible for analyzing and resolving denied insurance claims to maximize revenue for healthcare providers. They work closely with insurance companies, healthcare providers, and internal teams to identify the causes of claim denials and implement effective solutions to prevent future denials.

Major Responsibilities:

• Position is responsible for managing the process of recovering revenue associated with disputed/denied oncology claims by the preparation of required medical record requests, prepay audits.
• Utilizes payers’ clinical policy bulletins and centers for Medicare.
• Performs review of assigned requests, audits, pre-pay denials and denials to determine the cause.
• Ensure ICD 10 coding is accurate in EMR and billing system.
• Review denied insurance claims to identify reasons for denial.
• Analyze denial patterns and trends to address root causes.
• Knowledge of ICD 10 coding, HCPCS CPT coding for oncology/hematology

Requirements & Skills :

• High School grad or 5 years exp in related field
• Knowledge of ICD 10 coding, HCPCS CPT coding for oncology/hematology
• Minimum Experience: Medical terminology
• Must be able to pass background and drug screening
• Medical on-boarding (if applicable to your position)
• Covid Vaccine required (May depend on facility requirement)

Details

• Shift: 8am/9am-4:30/5:30pm
• Location: Danbury, CT
• Duration: 3 Month Contract (Possibility of extension and contract to hire)

Benefits

• Health Benefits
• Extending Contract Bonus

Matching Amazing People with Great Opportunities.

If you’re looking for your next career move and want to find a company that will value you and your skill set, you’ve come to the right place... RightPro! We approach recruiting as career matchmaking. It’s less about simply filling a role and more about finding the right talent and culture match for both our clients and the professionals that we represent.

RightPro Staffing LLC provides equal employment opportunity to all individuals regardless of their race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by state, federal, or local law. RightPro Staffing LLC does not discriminate on the basis of any protected characteristic in the recruitment, hiring, compensation, or any other matters of employment. By applying to this position, you are authorizing RightPro Staffing LLC to email and/or text message you.

Company Description

RightPro Staffing features a talented internal team with decades of national recruiting experience and an expansive network of relationships in the healthcare industry.

Company Description

RightPro Staffing features a talented internal team with decades of national recruiting experience and an expansive network of relationships in the healthcare industry.