Claims Denial Coordinator

Position Summary This position serves as Adirondack Healths primary contact for patientinsurance reimbursement issues in accordance with established policies and payer The Denials Analyst will be responsible for managing and resolving insurance claim denials with a focus on surgical and high dollar accounts including those with unlisted procedure codes This role is essential in supporting the revenue cycles financial integrity by analyzing trends coordinating appeals and collaborating with internal teams to improve first pass resolution rates and reduce recurring denials All communication is conducted in a manner that will result in positive patient relations and prompt reimbursement for services Educational Requirements Qualifications Required Minimum Education High school diploma required Bachelors in business or related field or equivalent combination of education and experience Required Minimum Experience Minimum 3 years experience in PFS directly involved in billingcollections of accounts receivable Minimum 3 years experience in a lead capacity preferred Proficiency in knowledge of Third Party Payers patient accounts and billing specifically payer rules coding guidelines and appeal processes Exhibits a strong understanding and ability to interpret payer explanation of benefits Proficiency in operation of computer terminal and personal computer equipment Excellent communication when responding to inquiries Requires effective interpersonal skills and ability to interact with patients and insurance companies to explain payment policies Required Skills Must possess a strong reporting background and advanced knowledge with Microsoft and excel Strong interpersonal analytical problem solving Must be comfortable interacting with various employee levels Demonstrated professionalism and flexibility to work schedules based on need Salary Range 2042 3047 per hour