Henderson Denial Management Coordinator
19 hours ago
Behavioral Health Solutions (BHS) is a leading provider of comprehensive behavioral health services, including Skilled Nursing Facilities (SNF), Outpatient services, and Telehealth. We are seeking a skilled professional to join our team as a Denial Management Coordinator.
Job Summary:The Denial Management Coordinator will oversee the end-to-end process of managing credentialing holds and other claims related to denial holds. This position will collaborate closely with the Billing Liaison, Credentialing Department, and management to provide necessary support.
Key Responsibilities:- Manage the denial process for credentialing and additional information required holds.
- Provide oversight, assistance, and education to teams regarding complex denial responses and appeals.
- Follow up with payers to confirm denials and ensure proper resolution.
- Review and correct errors on claims for resubmission.
- Collaborate with management to develop and implement quality assurance measures for denial and front-end processing.
- Work collegially and respond efficiently to all staff members involved in the denial process.
- Identify areas of improvement and recommend enhancements to denial management workflows.
- A clear understanding of the Claims Life Cycle, particularly for mental health services.
- Familiarity with CPT codes for psychiatric services and ICD-10 codes for mental health diagnoses.
- Understanding of mental health insurance policies and reimbursement practices.
- Excellent attention to detail and strong analytical skills.
- Ability to communicate effectively with healthcare providers, patients, and insurance representatives.
- Strong organizational skills and the ability to manage multiple tasks simultaneously in a fast-paced environment.
- High school diploma or GED; additional education or certification in medical billing/denials management preferred.
- Minimum of 1-2 years of experience in claims processing, billing, or denial management in a healthcare setting.
- Proficiency in EHR/EMR systems, including AthenaOne.
- Strong interpersonal and communication skills, both written and verbal.
- Ability to maintain confidentiality of sensitive information.
- Proficiency in Microsoft Office applications such as Outlook, Word, and Excel.
- $19 - $21/hr.
- Hands-on and virtual training.
- Work-life balance, including PTO and paid holidays.
- Comprehensive benefits package (Medical, Dental, Vision, Life, etc.).
- 401k with company match.
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