Denial Coordinator

Overview

Location: 600 City Parkway West 10th Floor, Orange, CA 92868

Compensation: $20.00 - $24.00 / hour

Department: HS - Delegation Oversight

Description

Job Title:

Denial Coordinator

Department:
Health Services - Denials

About the Role: Astrana Health is looking for a Denial Coordinator I. This role will report to a Manager - Denial and enable us to continue to scale in the healthcare industry. This is a remote role.

• Comply with NMM and department policies and procedures to ensure timely and accurate processing of all deferrals and or denials
• Review and process daily assigned deferrals or denials (denial, modify, carve out, etc.) with a minimum of 30-40 letters per day with accuracy and quality
• Ensure daily Failed Fax Report for denials and deferrals is reviewed and letter/notification refaxed and documented in the referral
• Ensure daily monitoring of the Denial Inquiry; refax denial notification or letter, respond to the provider or interdepartmental emails, and document in the referral notes as needed
• Maintain a high level of integrity and confidentiality/patient privacy (HIPAA) of all information (written, verbal, electronic, etc.) that an employee encounters
• Perform other duties, projects, and actions as assigned

• High School Diploma or GED
• 1+ years of experience working in the healthcare industry
• Experience using Microsoft applications such as Word, Excel, and Outlook
• Ability to communicate with multiple clients at a time

• This is a remote role. The home office is aligned with your department at 600 City Parkway West, 10th Floor, Orange, CA 92868.
• This position will typically work Monday - Friday from 8:30 am to 5:00 pm. We also require weekend and holiday coverage, as well as mandatory overtime.
• The total compensation target pay range for this role is $20.00 - $24.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need.

If you require assistance in applying for open positions due to a disability, please email us at humanre to request an accommodation.

Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.