Denial & Appeal Coordinator
Are you passionate about helping patients navigate the complex world of healthcare? Do you have a strong understanding of insurance denials and appeals? Baptist Health South Florida is seeking a skilled and compassionate Denial & Appeal Coordinator to join our team. In this role, you will play a crucial role in ensuring that our patients receive the care they need by managing the appeals process with insurance companies. Our ideal candidate is a detail-oriented individual with excellent communication and problem-solving skills. If you are looking for a meaningful and impactful career in healthcare, we encourage you to apply for this exciting opportunity.
- Review and analyze insurance denials and appeals to identify trends and patterns.
- Communicate with patients, insurance companies, and healthcare providers to gather necessary information for appeals.
- Prepare and submit appeals to insurance companies within designated timelines.
- Utilize knowledge of insurance policies and regulations to effectively advocate for patients.
- Collaborate with healthcare providers to ensure all necessary documentation is included in appeal submissions.
- Maintain accurate and organized records of appeals and related correspondence.
- Stay updated on changes in insurance policies and regulations to ensure effective appeal strategies.
- Work closely with billing and coding teams to ensure accurate and timely submission of claims.
- Communicate appeal outcomes to patients and provide guidance on potential next steps.
- Identify opportunities for process improvement and make recommendations to management.
- Provide exceptional customer service to patients and address any concerns or questions related to the appeals process.
- Adhere to all HIPAA regulations and maintain patient confidentiality at all times.
- Collaborate with other departments, such as finance and legal, as needed to ensure successful outcomes.
- Participate in training and education programs to stay updated on industry trends and best practices.
- Maintain a positive and professional attitude while working in a fast-paced and dynamic healthcare environment.
Knowledge Of Insurance Denials And Appeals Process: The Ideal Candidate Should Possess A Thorough Understanding Of The Insurance Denials And Appeals Process, Including Knowledge Of Relevant Laws And Regulations.
Strong Communication And Interpersonal Skills: As A Denial & Appeal Coordinator, The Ability To Effectively Communicate With Patients, Healthcare Providers, And Insurance Companies Is Crucial. The Candidate Should Possess Excellent Verbal And Written Communication Skills, As Well As Strong Interpersonal Skills.
Attention To Detail: The Denial & Appeal Coordinator Will Be Responsible For Reviewing And Analyzing Complex Insurance Claims And Denials. The Candidate Should Have A Keen Eye For Detail And Be Able To Accurately Identify Errors And Discrepancies.
Experience With Medical Billing And Coding: Knowledge Of Medical Billing And Coding Is Essential For This Role. The Candidate Should Be Familiar With Medical Terminology, Cpt And Icd-10 Codes, And Have Experience With Electronic Medical Records.
Problem-Solving And Analytical Skills: The Denial & Appeal Coordinator Will Be Responsible For Resolving Complex Insurance Denials And Appeals. The Candidate Should Possess Strong Problem-Solving And Analytical Skills To Effectively Identify And Address Issues And Find Solutions To Denied Claims.
Data Analysis
Communication
Time Management
Attention to detail
Medical Terminology
Problem-Solving
Medical coding
Claim Processing
Insurance Billing
Insurance Policies
Medicare Guidelines
Appeal Strategies
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
Interpersonal Skills
creativity
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Denial & Appeal Coordinator in Coral Gables, FL, USA is $50,000 - $60,000 per year. This may vary depending on factors such as experience, education, and the specific company or organization the individual is working for.
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Baptist Health South Florida is a faith-based, not-for-profit healthcare organization and clinical care network in southern Florida. It operates seven hospitals, about fifty outpatient and urgent care centers, as well as several community health and outreach programs.
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