Community Health Systems Denial Coordinator in Tucson, Arizona
This position is responsible for managing the maximization of reimbursement by identifying contractual variances between posted and expected reimbursement for managed care, government contracts, and other various payors. This responsibility encompasses contractual reimbursement analysis and communication of payment discrepancies to internal and external departments.
ESSENTIAL JOB FUNCTIONS :
Identifying trends in denials
Research and identify payment discrepancies from various sources
Compile and analyze data to make recommendations
Review contract validation, updates, and interpretation
Resolve unpaid claims in an effective and timely fashion
Other duties as assigned
- High School or equivalent.
Minimum of one year of hospital revenue cycle experience, particularly working with claim denials
Knowledge of CPT, HCPCS, DRG, and revenue codes
Must possess intermediate to advanced computer skills
Excellent interpersonal skills required to communicate with direct staff and internal/external customers
Must possess excellent time management and organizational skills
Demonstrated critical thinking, creativity, problem solving and decision-making skills
Must be able to handle multiple tasks simultaneously and concentrate in a busy environment.
Job: Credit & Collection
Organization: Shared Services Center - Tucson
Requisition ID: 1812303