Denial Appeals Coordinator - Remote

**Job Summary**

The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. This role requires in-depth knowledge of payer guidelines, systems, and requirements to navigate complex denial cases effectively, assist in issue resolution, and help identify trends that can improve claim outcomes.

**Essential Functions**

+ Monitors assigned queues and duties across various systems (such as, Artiva, HMS, Hyland, BARRT) to ensure all follow-up dates are current.
+ Analyzes denials to determine appropriate actions, completes appeals, or routes cases for clinical appeals as needed.
+ Files and monitors appeals to resolve payer denials, documenting all activity accurately and maintaining logs, account notes, and system records.
+ Maintains an up-to-date understanding of payer guidelines and requirements related to denials and appeals.
+ Processes BARRT requests, reviews RAC/Govern...