About the role
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Expected pay for this position is $21.72 - $25.55/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position.
Overview:
Open to Candidates in Illinois Full Remote Near OSF location
Candidates with experience in the Prior Authorization Process are encouraged to apply
POSITION SUMMARY:
The Revenue Cycle (RC) Denials Coordinator is responsible for timely management of complex non-clinical denials. Understands payer requirements and payer appeal process in order to effectively reach resolution and overturn the denial for payment. Responsible for identifying root cause and solutions for denial prevention that will be shared with leadership for appropriate execution, education, and training as necessary.
Qualifications:
REQUIRED QUALIFICATIONS:
Experience: Associate's degree and 2 years' experience in Revenue Cycle healthcare functions. OR High School Diploma or Equivalent and 4 years' experience in Revenue Cycle healthcare functions.
Licensure/ Certification: Healthcare Financial Management Association (HFMA) Certified Revenue Cycle Representative (CRCR) certification required within 12 months of hire.
Other Skills/ Knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem solving skills, with the ability to be detail oriented. Ability to work independently.
PREFERRED QUALIFICATIONS:
Other Skills/ Knowledge: Advanced knowledge of CPT4, ICD9/10, HCPCS, and modifiers. Knowledge of medical terminology.
OSF HealthCare is an Equal Opportunity Employer.
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