Coordinator, Denial Management Professional Billing Job Listing at NorthBay Healthcare in Fairfield, CA (Job ID 4249)

Description

At NorthBay Health, the Coordinator, Denial Management is responsible for the monitoring, analytics, reporting, and coordination of pro-fee health care claims denials and underpayments. The incumbent will work with the PFS division, practice operations, providers, and other facility staff to create reports, monitor trends, and provide feedback and/or training, as well as corrective oversight for billing, coding, and contracts as determined based on claim denials, edits, and underpayments.  The purpose of obtaining appropriate reimbursement under contract or related government fee schedule.

Education: Associate's degree preferred, or an equivalent combination of education and/or at least 3 years of related experience.

Licensure/Certification:  All new hires will be required to complete the HFMA Certified Revenue Cycle Representative (CRCR) training course within the first nine (9) months of employment. Membership, training, and certification costs will be sponsored by the employer.

Experience

• 5 years of experience in professional/hospital billing, with in-depth knowledge of CPT, ICD, and HCPCS coding.
• Understanding of payer contracts, payment structures, and federal/state regulations.
• Proficiency with compliance laws and collection laws.

Skills

• Excellent oral and written communication skills.
• Proficiency in PC applications and Microsoft Office Suite, especially Excel.
• Strong analytical skills with attention to detail.
• Skilled in training and providing education to staff.
• Strong organizational skills.

Interpersonal Skills

• Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. 
• Ability to prioritize tasks and communicate delays effectively.
• Communicate clearly across all organizational levels.
• Collaborate effectively with team members for professional communication and inclusion.

Compensation:  $32 to $39 per hour based on years of experience doing the duties of this role.