Denials & Appeals Coordinator

Posting Number
9475
# of Openings
1
Department
Finance
Type
Full-Time
Union Status
Non Union
Shift
Days
Location
Adirondack Medical Center
City
Saranac Lake
State/Province
NY

Position Summary

The Denials and Appeals Coordinator is an integral part of the Revenue Cycle Integrity department at Adirondack Health.  The position is under the supervision of Finance, but works very closely with the entire Fiscal Services division. 

Responsibilities of this position include reviewing and tracking of denials of payment for services to ensure organizational compliance, as well as maximum reimbursement.  Essential to this position is the ability to appropriately communicate with various departments to obtain necessary information for the appeals process.  The importance of managing/reporting claims denials and identifying opportunities to reduce financial risk is paramount to address compliance, cash flow and regulatory requirements within Adirondack Health.

All employees of Adirondack Health are bound by the Mission, Vision, Employee Philosophy and must uphold the Guiding Principles of Compassionate, Accountable, Respectful, Exceptional Service.

Qualifications

  1. Bachelor’s degree and/or experience in related field
  2. 2-5 years of experience in the healthcare industry
  3. Medicare/Medicaid and Insurance Plan Experience
  4. Experience with Denial and Appeals Process, preferred
  5. Healthcare coding and billing knowledge, preferred
  6. Excellent written and oral communications skills
  7. Excellent problem-solving and analytical skills
  8. Leadership ability
  9. Ability to work independently and collaboratively with a team
  10. Proficient in Microsoft Office software and other database management tools

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