Denial & Appeals Coordinator

Are you passionate about ensuring fair and accurate healthcare billing practices? Do you possess excellent communication and organizational skills? If so, we have an exciting opportunity for you to join the Baptist Health South Florida team as a Denial & Appeals Coordinator.As a Denial & Appeals Coordinator, you will play a crucial role in advocating for our patients and their financial wellbeing. You will be responsible for reviewing and appealing denied claims, as well as identifying trends and opportunities for improvement in our billing processes.To excel in this role, you must have a thorough understanding of medical billing and coding, as well as strong analytical skills. You must also be a strong communicator and have the ability to collaborate with various departments and insurance companies.If you are looking to make a meaningful impact in the healthcare industry and want to be a part of a dynamic and compassionate team, we encourage you to apply for our Denial & Appeals Coordinator position at Baptist Health South Florida.

1. Review and appeal denied healthcare claims on behalf of patients to ensure fair and accurate billing practices.
2. Identify trends and opportunities for improvement in billing processes to minimize denials and improve overall revenue cycle.
3. Maintain a thorough understanding of medical billing and coding guidelines, as well as insurance policies and procedures.
4. Collaborate with various departments, including revenue cycle, coding, and clinical teams, to gather necessary information and documentation for appeals.
5. Communicate effectively and professionally with insurance companies to negotiate and resolve denied claims.
6. Keep accurate and detailed records of all appeals and their outcomes for future reference.
7. Analyze denial data and provide recommendations for process improvements to reduce denials.
8. Stay updated on industry changes and regulations related to healthcare billing and appeals.
9. Advocate for patients and their financial wellbeing by ensuring fair and accurate billing practices.
10. Provide excellent customer service to patients and internal stakeholders by promptly addressing billing concerns and inquiries.
11. Train and educate other team members on appeal processes and best practices.
12. Maintain confidentiality and adhere to HIPAA regulations at all times.
13. Participate in meetings and committees to discuss and implement strategies for reducing denials and improving overall billing processes.
14. Meet performance metrics and goals set by the organization.
15. Contribute to a positive and collaborative work environment by actively participating in team meetings and promoting teamwork.

According to JobzMall, the average salary range for a Denial & Appeals Coordinator in Coral Gables, FL, USA is $45,000 to $62,000 per year. This may vary depending on the specific company, job responsibilities, and individual qualifications and experience. Bonuses and benefits may also be included in the overall compensation package.

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.