Denial Coordinator I

California, CA - USA

Hourly Salary: $ 20 - 24

Posted on: 16 hours ago

Vacancies: 1 Vacancy

Job Summary

Job Title: Denial Coordinator
Department: Health Services - Denials

About the Role:
Astrana Health is looking for a Denial Coordinator I. This role will report to a Manager - Denial and enable us to continue to scale in the healthcare industry. This is a remote role.

What Youll Do:

Comply with NMM and department policies and procedures to ensure timely and accurate processing of all deferrals and or denials
Review and process daily assigned deferrals or denials (denial modify carve out etc.) with a minimum of 30-40 letters per day with accuracy and quality
Ensure daily Failed Fax Report for denials and deferrals is reviewed and letter/notification refaxed and documented in the referral
Ensure daily monitoring of the Denial Inquiry; refax denial notification or letter respond to the provider or interdepartmental emails and document in the referral notes as needed
Maintain a high level of integrity and confidentiality/patient privacy (HIPAA) of all information (written verbal electronic etc.) that an employee encounters
Perform other duties projects and actions as assigned

Qualifications

High School Diploma or GED
1 years of experience working in the healthcare industry
Experience using Microsoft applications such as Word Excel and Outlook
Ability to communicate with multiple clients at a time

Environmental Job Requirements and Working Conditions

This is a remote role. The home office is aligned with your department at 600 City Parkway West 10th Floor Orange CA 92868.
This position will typically work Monday - Friday from 8:30 am to 5:00 pm. We also require weekend and holiday coverage as well as mandatory overtime.
The total compensation target pay range for this role is $20.00 - $24.00 per hour. Actual compensation will be determined based on geographic location (current or future) experience and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race religion color national origin gender (including pregnancy childbirth or related medical conditions) sexual orientation gender identity gender expression age status as a protected veteran status as an individual with a disability or other applicable legally protected characteristics. All employment is decided on the basis of qualifications merit and business need. If you require assistance in applying for open positions due to a disability please email us at to request an accommodation.

Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Required Experience:

Job Title: Denial Coordinator Department: Health Services - Denials About the Role: Astrana Health is looking for a Denial Coordinator I. This role will report to a Manager - Denial and enable us to continue to scale in the healthcare industry. This is a remote role. What Youll Do: Comp...

What Youll Do:

Comply with NMM and department policies and procedures to ensure timely and accurate processing of all deferrals and or denials
Review and process daily assigned deferrals or denials (denial modify carve out etc.) with a minimum of 30-40 letters per day with accuracy and quality
Ensure daily Failed Fax Report for denials and deferrals is reviewed and letter/notification refaxed and documented in the referral
Ensure daily monitoring of the Denial Inquiry; refax denial notification or letter respond to the provider or interdepartmental emails and document in the referral notes as needed
Maintain a high level of integrity and confidentiality/patient privacy (HIPAA) of all information (written verbal electronic etc.) that an employee encounters
Perform other duties projects and actions as assigned

Qualifications

High School Diploma or GED
1 years of experience working in the healthcare industry
Experience using Microsoft applications such as Word Excel and Outlook
Ability to communicate with multiple clients at a time

Environmental Job Requirements and Working Conditions

This is a remote role. The home office is aligned with your department at 600 City Parkway West 10th Floor Orange CA 92868.
This position will typically work Monday - Friday from 8:30 am to 5:00 pm. We also require weekend and holiday coverage as well as mandatory overtime.
The total compensation target pay range for this role is $20.00 - $24.00 per hour. Actual compensation will be determined based on geographic location (current or future) experience and other job-related factors.

Required Experience: