Summary
Location
Orange
Salary
$0k - $0k
Type
full-time
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About this role
Denial Coordinator I
Department: HS - Delegation Oversight
Employment Type: Full Time
Location: 600 City Parkway West 10th Floor, Orange, CA 92868
Reporting To: Michelea Stanford
Compensation: $20.00 - $24.00 / hour
Description
Department: Health Services - Denials
About the Role:
Astrana Health is looking for a Denial Coordinator I. This role will report to a Manager - Denial and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in the office and at home on a weekly basis.
What You'll Do:
- Comply with NMM and department policies and procedures to ensure timely and accurate processing of all deferrals and or denials
- Review and process daily assigned deferrals or denials (denial, modify, carve out, etc.) with a minimum of 30-40 letters per day with accuracy and quality
- Ensure daily Failed Fax Report for denials and deferrals is reviewed and letter/notification refaxed and documented in the referral
- Ensure daily monitoring of the Denial Inquiry; refax denial notification or letter, respond to the provider or interdepartmental emails, and document in the referral notes as needed
- Maintain a high level of integrity and confidentiality/patient privacy (HIPAA) of all information (written, verbal, electronic, etc.) that an employee encounters
- Perform other duties, projects, and actions as assigned
Qualifications
- High School Diploma or GED
- 1+ years of experience working in the healthcare industry
- Experience using Microsoft applications such as Word, Excel, and Outlook
- Ability to communicate with multiple clients at a time
Environmental Job Requirements and Working Conditions
- This is a remote role. The home office is aligned with your department at 600 City Parkway West, 10th Floor, Orange, CA 92868.
- This position will typically work Monday - Friday from 8:30 am to 5:00 pm. We also require weekend and holiday coverage, as well as mandatory overtime.
- The total compensation target pay range for this role is $20.00 - $24.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Other facts
About Astrana Health, Inc.
Astrana Health is a physician-centric, technology-enabled healthcare company committed to delivering access to high-quality, patient-centered care. Through its proprietary end-to-end technology platform, Astrana empowers providers to deliver more proactive, preventive care - improving patient outcomes, elevating patient experiences, improving the well-being of providers, and driving greater value.
Today, Astrana supports more than 20,000 providers and over 1.6 million Americans in value-based arrangements through its affiliated provider networks, management services organization, and primary, specialty, and ancillary care delivery clinics.
Together, Astrana is building what our healthcare system should be - one that delivers better care, better experiences, and better outcomes for all. For more information, visit www.astranahealth.com.
What you'll do
- The Denial Coordinator I will ensure timely and accurate processing of all deferrals and denials, reviewing and processing a minimum of 30-40 letters per day. The role also involves maintaining confidentiality and integrity of patient information.
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