Denials Coordinator

Reposted Yesterday
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Hospital, Limerick, IRL
In-Office
Senior level
Healthtech • Other • Telehealth
The Role
Coordinate denial and appeal processes with care management and Business Office, meet timelines and goals, track outcomes, perform analytics and application support for revenue cycle, oversee billing, follow-up, denials, and denial recovery, and maintain required certifications.
Summary Generated by Built In

Job Number:

33799

Location:

Phoebe Putney Memorial Hospital

Street Address:

417 W 3rd Ave

City, State:

Albany, Georgia

Zip Code:

31701

Department:

PPMH PATIENT ACCOUNTING

Shift:

First Shift

Job Type:

Full time

Posted Date:

2026-04-21

Job Description Summary:

JOB SUMMARY
Responsible for coordinating the denial and appeal process in conjunction with care management staff and the Business Office, meeting goals and timelines for appeals, and tracking outcomes.
GENERAL REQUIREMENTS
Adheres to the hospital and departmental attendance and punctuality guidelines
Performs all job responsibilities in alignment with the core values, mission and vision of the organization
Performs other duties as required and completes all job functions as per departmental policies and procedures
Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.
Wears protective clothing and equipment as appropriate.
WORKING CONDITIONS
General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
May be exposed to limited hazardous substances or body fluids, or infectious organisms.
May be required to change from one task to another of different nature without loss of efficiency or composure.
Periods of high stress and fluctuating workloads may occur.
May be scheduled as needed including overtime

Description:

EDUCATION REQUIREMENTS

  • 2-year / Associate Degree in Business Administration or a closely related field. In lieu of an Associate's Degree, a High School Diploma, and a minimum of 8 years of experience in the Revenue Cycle with experience with analytics and denials. (Required)

EXPERIENCE REQUIREMENTS

  • 2 - 3 years in a Health Care data analytics and/or application support (Required)
  • 8+ years of experience in the Revenue Cycle experience with a concentration in Patient Accounting to include billing, follow-up, denials, and denial recovery. (Required)

CERTIFICATIONS AND LICENSURES

  • Required Certifications/Licensures: CPAR Certification must be obtained within 20 months of hire.

GENERAL SKILLS

  • Organizational Skills
  • Communication Skills
  • Interpersonal Skills
  • Customer Relations
  • Mathematical
  • Analytical
  • Grammar / Spelling
  • Read / Comprehend Written Instructions
  • Follow Verbal Instructions
  • Transcription
  • Mechanical
  • Basic Computer Skills
  • Microsoft Office Suite
  • General Clerical Skills

PHYSICAL REQUIREMENTS

  • Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors
  • Have good - manual dexterity and eye-hand-foot coordination
  • Ability to perform - repetitive tasks/motion

PHYSICAL DEMANDS

  • Standing - Occasionally within shift (1-33%)
  • Walking - Occasionally within shift (1-33%)
  • Sitting - Continuously within shift (67-100%)
  • Climbing - Occasionally within shift (1-33%)
  • Bending/Stooping - Occasionally within shift (1-33%)
  • Twist at waist - Frequently within shift (34-66%)
  • Pushing/Pulling - Occasionally within shift (1-33%)
  • Lift/carry up to 20 lbs - Occasionally within shift (1-33%)
  • Lift/carry > 20 lbs with assistance - Occasionally within shift (1-33%)
  • Reaching above shoulder - Occasionally within shift (1-33%)

Skills Required

  • Associate degree in Business Administration or closely related field; or High School Diploma plus minimum 8 years Revenue Cycle experience
  • 8+ years Revenue Cycle experience with concentration in Patient Accounting including billing, follow-up, denials, and denial recovery
  • 2-3 years in health care data analytics and/or application support
  • CPAR Certification must be obtained within 20 months of hire
  • Organizational, communication, and interpersonal skills
  • Analytical and mathematical skills, including reading and comprehending written instructions
  • Basic computer skills and proficiency with Microsoft Office Suite
  • General clerical skills, transcription, and customer relations skills
  • Ability to perform repetitive tasks, near normal vision, good manual dexterity and eye-hand-foot coordination
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The Company
HQ: Albany, GA
Year Founded: 1911

What We Do

Phoebe Putney Health System is a not-for-profit healthcare delivery system that serves more than half a million residents in Southwest Georgia through a network of hospitals, clinics, and specialty facilities.

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