What are the responsibilities and job description for the Denial Coordinator position at Harbor?
Harbor is looking for a Denial Coordinator who can perform timely, effective and efficient revenue cycle tasks to ensure accurate claim submission and receipt of payment. Works collaboratively with internal and external customers to obtain, update, submit, and interpret client account information.
Position is full-time.
Education / Experience / Other Requirements :
Associate's degree in healthcare administration or related field and 3 years relevant experience required.
Demonstrated knowledge and understanding of health / behavioral health billing procedures and eligibilities for third-party providers preferred.
Knowledge of governmental and commercial insurance rules and regulations
Must have strong attention to detail
Previous coding experience in a behavioral healthcare setting preferred
Previous credentialing experience preferred
Excellent communication and interpersonal skills
Must be able to establish daily work priorities and work independently and efficiently to meet deadlines
Must be honest, dependable, self-disciplined, organized and be able to work well as a team member
Essential Job Competencies / Primary Duties :
Receives incoming questions from clients, payers and / or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and / or clinician.
Verifies insurance coverage, co-payment, and coordination of benefits and updates client billing information accordingly.
Reviews, monitors, updates and ensures timely submission and follow up for payer authorizations.
Initiates denials process, including appeals and status requests.
Identifies denial trends and uses the organizations EHR system to create robust denial prevention processes.
Participates, leads and initiates conversations with payers about matters with complex claims and reimbursement policies.
Identifies the need and serves as lead on claim projects with payers.
Tracks and trends denials.
Uses the organizations clearinghouse to work and monitor current denials.
Uses denial tracking as a tool to recognize opportunity within the department and recommend additional staff training, and / or new workflow ideas to reduce overall denial rate.
About Harbor :
A leading provider of mental health and substance use treatment for over 100 years
350 clinical staff serve over 24,000 clients across multiple locations and in the community each year
Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!
Why Work for Harbor?
It is fast-paced and challenging, but you will have a lot of fun in the process. You will have the opportunity to meet other motivated individuals who are also making a positive impact at our company. Harbor is committed to investing our resources in you! Some benefits of working with Harbor include :
Medical, dental, and vision coverage
Retirement plan with company match
Generous paid time off, sick time, and paid holidays
Tuition and professional license reimbursement programs
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