HCA, Hospital Corporation of America Appeals & Denials Market Coordinator - Full-time Days in Fort Pierce, Florida
Appeals & Denials Market Coordinator
East Florida Division
The Market Denial Coordinator will be actively engaged in all levels of effective denial management for each of the Markets: reviewing all incoming concurrent denials timely and effectively and challenging them appropriately.
The Market Denial Coordinator will have a thorough understanding of contractual language and have strong communication skills to challenge concurrent denials with the insurance plans.
The Market Denial Coordinator will work closely with the Division Appeal and Denials Manager as well as Case Management, Physician Advisors, Chief Medical Officers, and External Physician Advisors, and insurance reviewers/supervisors to systematically and effectively follow through on all concurrent denials.
The Market Denial Coordinator will also work with the SSC Appeal Department and actively participate in reviewing the root causes of denials which resulted in a pre-write off status to prevent denial write offs.
EDUCATION & EXPERIENCE:
RN with current Florida license Required
Previous acute care nursing experience Required
Minimum two years Case Management experience Required
Bachelor’s degree Preferred
Title: Appeals & Denials Market Coordinator - Full-time Days
Location: Florida-Fort Pierce-Lawnwood Regional Medical Cntr-St. Lucie County
Requisition ID: 25502-5180