What are the responsibilities and job description for the DENIALS PREVENTION COORDINATOR position at NORTHERN REGIONAL HOSPITAL?
Life Changing Careers Start Here!
Northern Regional Hospital is always looking for talented individuals to join our dedicated staff. Our superior ratings are a testament to our team’s commitment to quality and service excellence. We seek talented and diverse faculty and staff to continue to provide superior care.
Northern is a place where you can grow your career, no matter where you are professionally. We believe you will find it to be more than just a job. When you choose to work at Northern, you become part of a family of caregivers supporting the communities we serve.
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Choose Well. Choose Northern.
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At Northern, we strive to provide benefits that meet you where you are–not only today, but tomorrow.
We recognize that our ultimate success depends on our talented and dedicated workforce – our Northern Stars.
We understand the contributions of each employee make our accomplishments possible. Our goal is to provide a comprehensive program of competitive benefits to meet your needs today and anticipate your needs tomorrow. Through our benefits programs, we strive to support you and your family by providing a benefit package that is easy to understand, easy to access, and affordable.
- Competitive Compensation – and be paid daily!
You deserve to get paid every day, so we have partnered with DailyPay. You can get your pay any time before payday!
- Medical, Dental, and Vision Insurance
- Paid Time Off
- Short Term and Long Term Disability Insurance
- Life Insurance for Employee, Spouse, and/or Dependents
- Accidental Death and Dismemberment Insurance
- Accident, Critical Illness and Hospital Indemnity
- Flexible Spending Accounts (FSA) for Healthcare and Daycare Expenses
- Northern $elect Retirement Plan (403(b) and 457(b)) and Roth IRA
- Educational Assistance of up to $10,000 per program or degree
- Celebrate! - Pick a gift to recognize your fifth anniversary and every five years of service thereafter
- 50% discount on membership at Northern Wellness & Fitness Center
- Employee discount programs
- Employee Health Clinic
- Ability to read, write, and speak English clearly and fluently
- Computer experience with MS Windows suite
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Minimum 3 years in acute hospital setting with experience in Registration, Billing/Coding or Case Management
and/or Minimum 3 year experience directly working in revenue cycle activities, collections and appeals. - Working knowledge of government and non- government payer practice regulation standards and reimbursement.
- Denial/ Appeal Management experience in Commercial Managed Care/ Government Insurances arena.
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Must have one of the following credentials:
- RN (Registered Nurse)
- LPN (Licensed Practical Nurse)
- RHIA (Registered Health Information Administrator)
- RHIT (Registered Health Information Technician
- CCS (Certified Coding Specialist)
- CDIP (Certified Documentation Improvement Specialist)
- CCDS (Certified Clinical Documentation Specialist)
The Denials Prevention Coordinator is responsible for all aspects of the hospital’s payor denial prevention program
including but not limited to the following:
- Obtaining and analyzing historical denial data for the purposes of identifying trends and areas of opportunity
- Facilitating denial prevention committees
- Handling divisional denial prevention report outs (using MEDITECH Expanse modules)
- Coordinating with case managers and other hospital departments in denial prevention efforts
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Reviewing charts concurrently to ensure documentation/status/authorization is in alignment with third-party payor
requirements - Working with our provider partners to ensure proper ordering and documentation
