Denials Coordinator - Full Time

Description

Coord, Denials

Welcome to Holy Name, a medical center where innovation is not just a goal — it's a commitment. Here, medical excellence thrives, allowing hope to reign supreme and leaving no room for fear. At our hospital, every patient is cared for with undivided attention — because healing every soul is our sole focus.

Holy Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology – it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through a variety of residency and educational programs. Our mission to provide care for the body, mind, and soul spans education, prevention, diagnosis, treatment, rehabilitation, and overall wellness. This is at the core of who we are and what we do, and we've done it this way across generations, every single day, for nearly 100 years. Every innovation, medical breakthrough, and groundbreaking treatment is powered by some of the best minds in medicine, ensuring nothing is left on the table or the road to recovery.

A Brief Overview

Monitor and audit denials. Meet with various departments to review information and develop action plan to prevent future denials. Report denial trends and reimbursement issues to the Director of Payor Relations. Supervise the denials team.

What you will do

• Ability to work with department heads to resolve issues
• Report denial trends and reimbursement issues to the Director of Payor Relations
• Develop action plan to prevent future denials
• Ability to identify issues leading to underpayments and denial trends
• Coordinate meetings with payer’s provider relations team to address ongoing issues
• Maintain up to date on payer updates
• Works collaboratively as an interdisciplinary team member
• Follow all HIPPA, compliance, privacy and confidentiality standards
• Performs other duties as assigned

Education Qualifications

Experience Qualifications

Knowledge, Skills, and Abilities

At Holy Name, we believe in rewarding every team member with more than a paycheck—we invest in your future and well-being. Full-time and part-time employees have access to a comprehensive benefits package designed to support your health, financial security, and quality of life. We offer low-cost medical coverage with generous employer contributions, dental and vision plans, discounted prescriptions, and access to on-site child care. Additional benefits include 401(k) matching, tuition reimbursement, paid time off, flexible spending accounts, legal and voluntary coverage options, life insurance, and free on-site parking. If you are hired at Holy Name, your final base compensation will be determined based on factors such as employment status (Full / Part-Time or Per Diem) skills, education, and / or experience. In addition to those factors – we believe in the importance of pay equity and consider any internal equity of our current team members as a part of any final offer. Pay Range : $54,204.80 - $65,000.00

Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented staff members. Holy Name is an Equal Opportunity Employer.