holyoke medical centerHolyoke, MA
Denials Coordinator-Case Management
Denials Coordinator-Case Management
Denials Coordinator-Case Management
holyoke medical centerHolyoke, MA
yesterday
Claims Adjusters, Examiners, and InvestigatorsInsurance Claims and Policy Processing ClerksMedical Secretaries and Administrative Assistants
Direct Health and Medical Insurance CarriersPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAll Other Insurance Related Activities
Apply for this role →Denials Coordinator for Case Management Under the direct supervision of the Manager of Case Management, the Denials Coordinator is responsible for monitoring denials, appeals and resolution from participating insurance carriers. Will generate and process denial letters and Notice of Action (NOA) for pre-services, leveling of care and denied medical services. Maintains the denial and/or appeals electronic database. Serves as the department liaison for all denial and/or appeals issues. Responsibilities are not limited to functions within the Case Management Assistant role and will require elements of cross training.
Requirements:
High school graduate or equivalent required. Preference will be given to applicants having prior experience with denials and appeals.
Also on the board Same function, level within a rung
Level
Senior
Location
Holyoke, MA
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
Direct Health and Medical Insurance Carriers
Posted
yesterday