Denials Coordinator-Case Management in Holyoke, Massachusetts at Holyoke Medical Center

Note: The compensation range noted above represents the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range.

Denials Coordinator for Case Management. Under the direct supervision of the Manager of Case Management, the Denials Coordinator is responsible for monitoring denials, appeals and resolution from participating insurance carriers. Will generate and process denial letters and Notice of Action (NOA) for pre-services, leveling of care and denied medical services. Maintains the denial and/or appeals electronic database. Serves as the department liaison for all denial and/or appeals issues.

Responsibilities are not limited to functions within the Case Management Assistant role and will require elements of cross training.

REQUIREMENTS: High school graduate or equivalent required. Preference will be given to applicants having prior experience with denials and appeals.