Clinical Denials Coordinator

At West Virginia United Health System, we are looking for a motivated Clinical Denials Coordinator who is eager to join our team. This position requires a passionate individual who has experience in clinical denials management and is committed to helping our organization with optimizing revenue cycle processes. The Clinical Denials Coordinator will be responsible for overseeing denials management and appeals, resolving denials, and ensuring the accuracy of denials data.The ideal candidate for this role should possess the following qualifications: a minimum of 5 years of experience in healthcare-related revenue cycle management, knowledge of coding, billing, and reimbursement practices, understanding of payer policies and regulations, strong organizational and analytical skills, and excellent communication and interpersonal skills. If you are passionate about this field and have the skills and experience to help us optimize our revenue cycle processes, we would love to hear from you!

Responsibilities of the Clinical Denials Coordinator:

1. Monitor denials management processes and appeals to ensure accuracy of denials data.
2. Analyze and resolve denials in a timely manner.
3. Identify trends and root causes of denials and recommend solutions to prevent future denials.
4. Liaise with payers to ensure compliance with applicable policies and regulations.
5. Monitor and analyze reimbursement practices and trends in the healthcare industry.
6. Ensure accuracy of coding, billing, and reimbursement practices.
7. Assist with training and development of staff to improve revenue cycle processes.
8. Develop and implement strategies to optimize revenue cycle processes.
9. Prepare and submit appeals for denied claims.
10. Develop and maintain relationships with payers and other healthcare organizations.
11. Monitor and evaluate key performance indicators related to denials management.
12. Provide timely and accurate reports to management.
13. Maintain knowledge of changes in laws and regulations related to denials management.
14. Perform other duties as assigned.

According to JobzMall, the average salary range for a Clinical Denials Coordinator in Morgantown, WV, USA is $51,643 - $62,636 per year. The salary range is based on data from the U.S. Bureau of Labor Statistics and other sources. The salary range can also be impacted by the size of the company and the experience of the individual.

The WVU Health System, WVU Medicine's largest component, is a not-for-profit corporation and West Virginia's largest employer. West Virginia United Health System helps residents in the Mountain State stay on top of their health. The system operates United Hospital Center (in Clarksburg), as well as hospitals in the West Virginia University Hospitals (WVUH) system, including City Hospital (Martinsburg), Jefferson Memorial Hospital (Ranson), and WVUH's home hospital in Morgantown. In addition, WVUHS operates WVUH's Cheat Lake physicians ambulatory center, as well as a network of about a dozen primary care clinics located throughout central and northern West Virginia. Combined, the system's hospitals and clinics have more than 1000 beds and treat approximately 1.4 million patients annually.