Pay Rate: $19.00 - $21.00/hr.

Estimated Start Date: August 10th 2026

Estimated End Date: 2 - 4 months from start date

Schedule: 15 hours per week (3 days per week, 5 hours per day)

Description: The Denials Coordinator will be responsible for reviewing and taking necessary action on insurance denials for CCM/RPM/RTM services. Our services are currently only payable by Medicare and Medicare Advantage plans. Some outlined responsibilities of this role include but are not limited to:

• Responsible for following up on denied claims, researching denials, and working towards a resolution to each denial whether by payment, adjustment, or opt out.
• Verify patient insurance via available provider portals.
• Communicate with internal teams and support staff at each practice.
• Assist with other assigned duties as outlined by the Program Operations department.

Requirements:

• 6+ months of insurance follow-up or related area is required.
• Basic insurance billing or insurance follow-up, experience reviewing/using HCFA 1500 forms.
• Knowledge of ICD-10/CPT coding and how to review an EOB.
• Experience in Outlook, Microsoft Word, and Excel.
• Experience in gGastro, eCW, Athena is a plus, but not required.
• Must have experience in practice management systems and EMR’s.
• Experience using various insurance portals such as Palmetto, Availity, and United Healthcare.