Job Description

(Full Time, Remote)
The Denials Coordinator is responsible for working assigned denials and appeals claims by communicating with all necessary departments to identify and resolve denials trends and issues.

As a Denials Coordinator at CHS Shared Service Center - Nashville, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and other elective benefit programs.

 

Essential Duties and Responsibilities

 Complete monthly denial logs in required timeframeAttend monthly denial meetings with facilities as assignedCommunicate with all necessary departments to identify and resolve denial trends and issuesReview and analyze all denial trends and issues as assignedMaintain working knowledge of all payer guidelines and requirements as they relate to denials and appeals.Monitor and work all denials and appeals as assignedProperly track and document all denial and appeal activity.Maintain all logs, account notes and system records as assignedReview outpatient RAC denials and appeal as neededMonitor AB rebills that needed on RAC accounts and post recovery or denial adjustments as neededMonitor assigned duties in C360, and ensure proper handling of all RAC accounts

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed
below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required Education and Experience

High school diploma or equivalentMinimum of one year experience in a healthcare setting

Preferred

Working knowledge of the revenue cycle

Required Knowledge/Abilities

Working knowledge of denials and appeal processes including a basic understanding of contracts and payer policiesWorking knowledge of current medical terminologyAbility to communicate effectively both verbal and writtenAbility to work independently and to meet deadlines

Required Computer Skills:

Working knowledge of Outlook, Microsoft Word and Excel or equivalent

 

We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.