High Dollar Denials Coordinator - 241536 Job at Medix™, Baltimore, MD

YzFlUHY0WG81TGx1Njg3Q29UK0cwbVJpc0E9PQ==
  • Medix™
  • Baltimore, MD

Job Description

High Dollar Denials Coordinator

Full-Time | Monday–Friday | Flexible start time between 7:00 AM–9:00 AM

Our team is hiring a Medical High-Dollar Denials & Claims Coordinator to support a growing Clinical Documentation Improvement (CDI) unit within a major healthcare system. This role is ideal for a critical thinker with strong insurance knowledge and experience managing complex, high-dollar outpatient claims. The ideal candidate will have extensive experience with Maryland/DC payers.

Key Responsibilities:

  • Review, monitor, and resolve denials and write-offs related to outpatient claims
  • Create and maintain Excel reports to track reimbursement trends and payer issues
  • Identify non-payment patterns, escalate trends, and collaborate with outpatient departments
  • Submit authorizations, referrals, and appeal requests to support reimbursement efforts
  • Partner closely with Financial Counselors, Managed Care teams, and PFS departments
  • Prevent scheduling of elective self-pay procedures (cosmetic or sterilization) without pre-payment
  • Attend payer update seminars and provide internal updates on insurance policy changes

Qualifications:

  • 3–4 years of experience in a healthcare setting with strong insurance knowledge
  • Familiarity with Maryland/DC payers including UH, Kaiser, and MedStar Family Choice
  • Working knowledge of UB04s, EOBs, CPT/ICD-10 coding, and insurance portals (e.g., HDX, iExchange)
  • Strong Excel skills required
  • CHAA or CRCS-I certification preferred

Work Environment:

  • The ideal employee would be within driving distance of the office in White Marsh, MD; however, the employee does not have to be.

Job Tags

Full time, Flexible hours, Monday to Friday,

Similar Jobs

Alliance Française de San Francisco

Part-time ONSITE French teacher Job at Alliance Française de San Francisco

 ...are also winners of Best of Bay area 2024 for online learning. Role Description This is a part-time on-site role for a French Teacher for our classes based in San francisco CA. Th The classes will be held in the evenings between 5 p.m. and 9 p.m., with the... 

Dignity Health

Urgent Care Physician Job at Dignity Health

**Responsibilities**+ **Patient Care** : Diagnose and treat medical conditions; develop and implement comprehensive treatment plans....  ...of an accredited post-graduate training program**Overview****Urgent Care Physician** needed for busy and well-established Urgent Care... 

Merck

Cybersecurity AI Engineer (Sr. Scientist) - ML & Insights (Remote) Job at Merck

 ...including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance Search Firm Representatives Please Read Carefully- Merck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from... 

Adecco Permanent Recruitment

Regulatory Affairs Specialist- Food Industry Experience! Job at Adecco Permanent Recruitment

 ...Adecco Permanent Recruitment is seeking a Regulatory Affairs Specialist in Orlando, Florida. The qualified candidate for this position will...  ...of Quality Assurance and Regulatory Affairs experience in the Food and Beverage industry. This position offers a competitive... 

empressage

Massage Therapist (Part-Time) - Miami Area Job at empressage

Are you a licensed Massage Therapist with a passion for wellness and exceptional customer service? Join our team in the Miami area! We are looking for dedicated, hard-working professionals to provide quality massage therapy while enjoying flexible hours and competitive...