Denials Coordinator
LCMC Health New Orleans, LA
Security verification
LCMC Health New Orleans, LA
4 weeks ago
See who LCMC Health has hired for this role
LCMC Health New Orleans, LA
4 weeks ago
Security verification
Save job
Welcome back
Sign in to save Denials Coordinator at LCMC Health.
- Report this job
Your job is more than a job
Reporting to the CBO Denials Manager, the Hospital Denials & Appeals Coordinator is responsible for managing denied claims and submitting appeals to the appropriate carrier while identifying and mitigating root cause issues.
Your EverydayGENERAL DUTIESDenials Mitigation
- Reviews clinically and technically denied accounts and prioritize cases depending on appeals timelines and dollar thresholds.
- Maintains accurate, clear, timely documentation related to denied cases.
- Works collaboratively on reporting trends and root causes and identifies denial avoidance process improvements. Provide results reporting and communication. Track outcomes, share results, identify trends, and present strategies.
- Resolves denial and appeal complaints from patients, insurance companies and other offices for hospital-related services.
Interdisciplinary Process Improvement
- Works with and educates staff, physicians, and payers on reimbursem*nt issues, clinical protocols/criteria, insurance plan changes, regulations and process improvements.
- Contacts physician/office staff to retrieve patient information necessary to overturn the denial.
- Responds to patient and family inquiries regarding denials and serves as a resource, maintains expertise and continues self-education by attending applicable conferences, workshops and meetings.
Denials Tracking & Analytics
- Maintains accurate, clear, timely documentation of processes. Manages denial management database.
- Tabulates the financial gains of the position and opportunities for improvement by tracking denial overturn/success metrics.
- Identifies denial avoidance process improvements. Provides results reporting and communication. Tracks outcomes, share results, identifies trends, and presents strategies.
- Performs reports and audits, works on Special projects, as requested.
IT & Third-Party Payer Relations
- Acts as an additional resource and payor contact.
- Participates in monthly and quarterly managed care payer meetings.
- Schedules, coordinates and collaborates with Epic and electronic billing software.
- Processes, tests, and validates software updates, when needed.
Team Collaboration
- Collaborates with billing, coding, and collections leadership.
- Provides first-line assistance for claims resolution and provide feedback/education to collection team to improve effectiveness of timely reimbursem*nt.
- Interacts with various insurance companies, denial vendor partners, electronic billing systems and payer portals.
The Must-HavesMinimumMINIMUM QUALIFICATIONS
- Required: High School Diploma/GED or equivalent OR 2 years of work experience in a billing or collections role in a hospital, utilizing electronic patient accounting systems, and managing denials and claims process with knowledge of private insurance and governmental regulations.
Knowledge, Skills, And Abilities
- Knowledge of the appropriate use of HCPCS, CPT4, and ICD10 codes.
- Ability to write clearly and concisely, strong interpersonal communication.
- Ability to anticipate needs and problems.
- Analyze and prioritize issues.
- Ability to provide resolution alternatives.
- Attention to detail, organized, conflict/problem resolution, effective written and verbal communication, unwavering integrity, confidentiality, and discretion.
Work ShiftDays (United States of America)
LCMC Health is a community.Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary
Your extras
- Deliver healthcare with heart.
- Give people a reason to smile.
- Put a little love in your work.
- Be honest and real, but with compassion.
- Bring some lagniappe into everything you do.
- Forget one-size-fits-all, think one-of-a-kind care.
- See opportunities, not problems – it’s all about perspective.
- Cheerlead ideas, differences, and each other.
- Love what makes you, you - because we do
You are welcome here.LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference.
- To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
- To ensure quality care and service, we may use information on your application to verify your previous employment and background.
- To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
- To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.
JR0016918
-
Seniority level
Entry level -
Employment type
Full-time -
Job function
Other -
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at LCMC Health by 2x
See who you know
Get notified about new Coordinator jobs in New Orleans, LA.
Sign in to create job alert
Similar jobs
-
OPERATIONS ASSISTANT MANAGER
OPERATIONS ASSISTANT MANAGER
Dollar Tree Stores
Kenner, LA
-
Assistant Athletics Director, Annual Giving
Assistant Athletics Director, Annual Giving
Tulane University
New Orleans, LA
-
Assistant Professor in Marketing >>>
Assistant Professor in Marketing >>>
Tulane University School of Medicine
New Orleans, LA
-
Assistant Professor >>>
Assistant Professor >>>
Tulane University School of Medicine
New Orleans, LA
-
Room Blocking Coordinator (Full-Time) *free parking*
Room Blocking Coordinator (Full-Time) *free parking*
Hilton New Orleans Riverside
New Orleans, LA
-
Assistant Manager
Assistant Manager
Octapharma Plasma, Inc.
Gretna, LA
-
Assistant Manager
Assistant Manager
Pacific Dental Services
Metairie, LA $21.50 - $30.00
-
Assistant Manager
Assistant Manager
1st Lake Properties, Inc.
River Ridge, LA
-
Senior Administrative Program Coordinator, Gift Accounting
Senior Administrative Program Coordinator, Gift Accounting
Tulane University
New Orleans, LA
-
Assistant Manager
Assistant Manager
United FP
New Orleans, LA
-
Assistant Front Office Manager - OEM
Assistant Front Office Manager - OEM
New Orleans, LA
-
Optical Assistant Store Leader (Magazine St)
Optical Assistant Store Leader (Magazine St)
KREWE
New Orleans, LA
-
Office Manager - State Farm Agent Team Member (Sales experience preferred)
Office Manager - State Farm Agent Team Member (Sales experience preferred)
State Farm Agent
Metairie, LA $45,000.00 - $55,000.00
-
Assistant Community Manager
Assistant Community Manager
AOG Living
New Orleans, LA
-
Exercise Coordinator Associate
Exercise Coordinator Associate
LCMC Health
Metairie, LA
-
Le Pavillon - Assistant General Manager
Le Pavillon - Assistant General Manager
Remington Hospitality
New Orleans, LA
-
ASSISTANT MANAGER
ASSISTANT MANAGER
Murphy USA
Chalmette, LA
-
Adult Health Clinical Faculty (Part-Time)
Adult Health Clinical Faculty (Part-Time)
Chamberlain University
New Orleans, LA
-
Franchise Hotel - Assistant Front Office Manager
Franchise Hotel - Assistant Front Office Manager
New Orleans, LA
-
Part-Time Assistant Manager - Level 1
Part-Time Assistant Manager - Level 1
Hot Topic
Metairie, LA
-
Operating Room Assistant Evenings 4pm-12:30- Kenner
Operating Room Assistant Evenings 4pm-12:30- Kenner
Ochsner Health
Kenner, LA
-
Early Intervention Consultant
Early Intervention Consultant
Easterseals Louisiana
New Orleans, LA
-
Public Relations Assistant
Public Relations Assistant
Omnia US
New Orleans, LA $51,000.00 - $70,000.00
-
Assistant Store Manager (Marrero, LA)
Assistant Store Manager (Marrero, LA)
Goodwill Industries of Southeastern Louisiana
Harvey, LA
-
Med-Ped
Med-Ped
The Inline Group
New Orleans, LA $340,000.00 - $700,000.00
-
Athletic Trainer (Part-Time)
Athletic Trainer (Part-Time)
Major League Baseball (MLB)
New Orleans, LA
-
Install Coordinator (***$2000 SIGN ON BONUS***)
Install Coordinator (***$2000 SIGN ON BONUS***)
Stuart Services
Metairie, LA
People also viewed
-
Assistant Project Manager I (New Graduate Program) - New Orleans, LA
Assistant Project Manager I (New Graduate Program) - New Orleans, LA
Ceco Concrete Construction L.L.C.
New Orleans, LA
-
Communications Coordinator
Communications Coordinator
HDR
Metairie, LA
-
Retail Assistant Store Manager
Retail Assistant Store Manager
VEYER
New Orleans, LA
-
Assistant Property Manager, Multifamily
Assistant Property Manager, Multifamily
Gretna, LA
-
Office Manager
Office Manager
MINT dentistry
Greater New Orleans Region
-
Assistant Service Manager - New Orleans, LA
Assistant Service Manager - New Orleans, LA
New Orleans, LA
-
Assistant Marketing Manager
Assistant Marketing Manager
Goodwin Recruiting
Metairie, LA
-
Operating Room Assistant - Baptist - FT
Operating Room Assistant - Baptist - FT
Ochsner Health
New Orleans, LA
-
Assistant Manager
Assistant Manager
1st Lake Properties, Inc.
River Ridge, LA
-
FRM, Field Access Manager New Orleans
FRM, Field Access Manager New Orleans
New Orleans, LA
Similar Searches
- Resident Services Coordinator jobs 63,079 open jobs
- Donor Relations Coordinator jobs 49,626 open jobs
- Fiscal Manager jobs 12,843 open jobs
- Infrastructure Coordinator jobs 8,134 open jobs
- Fiscal Specialist jobs 33,431 open jobs
- Tax Coordinator jobs 14,531 open jobs
- Senior Windows System Administrator jobs 2,419 open jobs
- Community Relations Coordinator jobs 55,945 open jobs
- Advocacy Coordinator jobs 56,517 open jobs
- Client Care Coordinator jobs 80,953 open jobs
- Supervisor jobs 1,307,149 open jobs
- Alumni Relations Officer jobs 54,343 open jobs
- Medicaid Service Coordinator jobs 11,077 open jobs
- Maintenance Coordinator jobs 48,987 open jobs
- Intake Coordinator jobs 65,469 open jobs
- Payroll Coordinator jobs 7,156 open jobs
- Advertising Sales Coordinator jobs 334 open jobs
- Business Coordinator jobs 137,834 open jobs
- Benefits Coordinator jobs 66,742 open jobs
- Planning Coordinator jobs 84,353 open jobs
- Studio Supervisor jobs 769 open jobs
- Family Support Coordinator jobs 51,584 open jobs
- Survey Coordinator jobs 4,521 open jobs
- Senior Lawyer jobs 63,563 open jobs
- Bid Coordinator jobs 51,366 open jobs
Explore collaborative articles
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
Explore More