Denial Mgmt Coordinator

OverviewThe Denial Managment Coordinator is responsible for verifying insurance precertification requirements by accessing payer websites or contacting insurance providers directly. This verification is conducted in alignment with hospital contracts, payer guidelines, and applicable CPT codes for both scheduled and unscheduled services. The Coordinator ensures that all necessary actions are completed within established timeframes.Additional responsibilities may include initiating authorization requests and verifying patient benefits. This role may also require the Coordinator to float across various departments or locations as needed, demonstrating adaptability in support of staffing needs or fluctuations in patient volume. Floating assignments may encompass outpatient diagnostic imaging, surgical procedures, sleep studies, and the management of related denials.As time allows, the Coordinator may contribute to team development by training new or existing staff and offering support in other operational areas based on departmental workload demands.  ResponsibilitiesDenial Mangement Coordinator ResponsibilitesVerify precertifications obtained from internal and external providersInitiate authorizationsVerify benefits for service being providedFloat across various departments or locations as needed, demonstrating adaptability in support of staffing needs or fluctuations in patient volume. QualificationsCompletion of High School or the equivalentKnowledge of medical terminology requiredBasic knowledge of computers requiredPrevious healthcare or medical office experience requiredStrong communication and customer service skills required.Ability to work independently.Able to perform several simultaneous tasks in an organized manner.Ability to process information quickly and accurately while in a stressful environment.Must be able to type 35 to 40 wpm.