Denial & Appeals Coordinator- Onsite Green Cove Springs, FL at ScionHealth
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Empowering the Hands that Heal
Denial & Appeals Coordinator- Onsite Green Cove Springs, FL
Green Cove Springs, Florida
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Overview
ScionHealth strives to provide quality-driven, patient-centered acute and post-acute hospital solutions. The health system is focused on driving innovation, serving its communities, and investing in people and technology to deliver compassionate patient care and excellent health outcomes. Based in Louisville, ScionHealth operates 79 hospital campuses in 25 states - 61 long-term acute care hospitals and 18 community hospital campuses and associated health systems.
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Denial & Appeals Coordinator- Onsite Green Cove Springs, FL
Green Cove Springs, Florida
Facility Kindred Hospital North Florida
Req ID 555215 Post Date 05/11/2026 Category Accounting and Finance
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Description
At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary
The Denials & Appeals Coordinator serves as the operational driver for timely and effective denial management, working closely with other members of the team, especially utilization management, to ensure no step is missed in preventing and resolving authorization-related denials. While not a clinical role, this position is critical in executing the processes that protect revenue and keep patient care moving forward. Focused on denial prevention, the Denials & Appeals Coordinator monitors the concurrent review process for continued stay authorizations, tracking potential issues and ensuring timely follow-up for designated facilities. This role actively tracks, organizes, and reports denial activity, partnering with case management teams, the Centralized Business Office, managed care, facility controllers, Clinical Denials Management, and Regional leadership to ensure alignment and swift resolution. By acting as a central point of coordination and follow-through, the Denials & Appeals Coordinator turns strategy into action-ensuring tasks are completed, deadlines are met, and communication flows between all parties. This role demonstrates accountability, attention to detail, and a commitment to quality improvement, problem solving, and productivity enhancement in an interdisciplinary model.
Essential Functions
Serves as key team member of the new Central Access and Authorizations Team (CAAT), serving as a subject matter expert on denial prevention and coordination.
Works with facility to gather clinical information from medical record. Responsibility may include printing and scanning into required systems.
Ensures all denial-related documentation is complete, accurate, and submitted within required timeframes
Collaborates with other members of the CAAT, Business Development, Case Management, and Clinical Teams in denial management process
Coordinates and schedules peer to peer physician consults as needed; may work with case management if attending physician is completing peer to peer, or may work directly with physician advisory group to schedule
Monitors and tracks insurance denials; identify trends in the data
Communicates authorization outcomes to appropriate personnel (hospital and Centralized Business Office)
Manage the denial root cause analysis efforts as requested; including
Capturing lessons learned
Identifying training opportunities
Providing appropriate communication and follow up to the teams
Monitors concurrent review processes for continued stay authorizations to identify potential denial risks
Serves as an additional layer of support in the denials management process:
Compiles data for analysis of trends and opportunities by hospital, payer, or Region
Monitors and tracks total certified days for managed payers (commercial, managed government and Medicaid) and communicates missing certifications to hospital personnel
Identifies trends and opportunities with specific facilities, payors, and staff members related to the concurrent review process and denials
Compiles and communicates reports for facility and leaders on denial trends for continuous improvement opportunities
Support ongoing analytics and data reporting requirements
Maintains working knowledge of government and non-government payor practices, regulations, standards and reimbursement.
Maintains clinical knowledge to support the utilization management team
Participates in continuing education/ professional development activities
Learns and develops full knowledge of the CAAT Admission Processes and actively seeks to continously improve them
Learns and has a full understanding of scheduling and pre-register routines in Meditech and any other referral platform utilized by the CAAT team (i.e., Referral Manager)
And ad hoc duties as assigned that fall within scope of the CAAT team
Knowledge/Skills/Abilities/Expectations
Qualifications
Education
Licenses/Certifications
Experience
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Benefits
We support growth and development for all our employees through various means and in programs designed to foster inclusion.
Your health is important to us. We offer a comprehensive benefits program and resources to support healthy lifestyles for you and your family.
Employees can contribute to their retirement with plans that allow for pre-tax or after-tax contributions through payroll deductions.
With paid holidays and unlimited PTO, you are encouraged to take the time you need to relax and recharge with family and friends.
Work-life balance is not just a perk, it is encouraged. We believe that our employees work their best when they're allowed to be their best selves in and out of the office.
Whether you're looking for pet insurance, identity theft protection, or select discounts from hundreds of local and national merchants, we have a variety of benefits that help provide peace of mind.
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ScionHealth
680 South Fourth St, Louisville, KY 40202 | 855.563.4473
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