General Summary of Position MedStar Patient Financial Services is seeking an experienced Admitting Denials Coordinator to join our Appeals & Denials team. The ideal candidate will have strong skills in investigating and researching claim denials, and in preparing and writing appeals to ensure claims are paid. This role involves working independently to monitor and resolve denials and write-offs for outpatient accounts, maintaining follow-up in Excel, and generating reports to track reimbursement progress. The coordinator identifies trends in non-payment, provides feedback to outpatient departments, and monitors revenue opportunities. Support for Financial Counselors and management of self-pay elective accounts are also key responsibilities. Primary Duties and Responsibilities Follow accounts to identify opportunities for full payment, track reasons for partial payments, and monitor timely follow-up. Provide feedback to the Access Director. Follow up on accounts with insurance cleared by Admitting or PFS, verify insurance authorization via Siemens and other tools, and create tracking reports. Monitor and work on denials reports, distribute accounts to responsible outpatient departments, and track responses and follow-up actions. Submit authorizations, referrals, and other documentation to PFS, track results, and ensure timely follow-up. Manage self-pay elective accounts, stopping procedures unless paid in cash. Participate actively in Denials Meetings and collaborate with departments to develop best practices. Stay updated on insurance procedures and benefit changes, attending seminars and providing feedback. Respond to PFS Tracking Reports and work with Managed Care to resolve payment issues. Assist in writing appeal letters and submitting appeal requests. Minimum Qualifications High School Diploma or GED required 3-4 years of experience in a medical setting with strong insurance knowledge required Medical coding and denials management experience preferred CHAA & CRCS-I certifications preferred Knowledge, Skills, and Abilities Strong verbal and written communication skills Proficiency in Microsoft Excel Knowledge of billing and collection processes for multiple payers Basic understanding of UB04 forms and Explanation of Benefits (EOB) Some knowledge of Medical Terminology and CPT/ICD-10 coding This position offers a salary range of $20.17 - $35.04 per hour. #J-18808-Ljbffr