Central Denials Coordinator
Company: VirtualVocations
Location: Corona
Posted on: September 3, 2024
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Job Description:
A company is looking for a Central Denials Unit Coordinator in
Remote, USA!
Key Responsibilities:
Provide non-clinical support to the Utilization Management team
Process adverse determinations and notices, including provider
outreach for denial avoidance
Ensure compliance with federal regulations, state regulations, and
health plan requirements for informational notices
Required Qualifications:
High school diploma, G.E.D., or equivalent
Certificate in a healthcare-related field preferred
1 year of experience performing non-clinical functions for
prospective UM review
1 year of experience providing supportive or direct functions for
adverse determinations
3 to 5 years of experience in a healthcare setting
Keywords: VirtualVocations, Corona , Central Denials Coordinator, Other , Corona, California
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