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DENIALS PREVENTION COORDINATOR - CENTRAL BILLING OFFICE Wausau, WI Back DENIALS PREVENTION COORDINATOR - CENTRAL BILLING OFFICE Category: Professional/Technical Location: Wausau, WI Job Schedule: FULLTIME Job Number: 102445 Apply To Job
Compassion. Accountability. Collaboration. Foresight. Joy.
These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.
Aspirus Health in Wausau, WI is seeking a DENIALS PREVENTION COORDINATOR to join our CENTRAL BILLING OFFICE team!
The System Denials Prevention Coordinator is responsible for providing oversight of the Denial Management Program for the Aspirus system to persistently improve the denial rate to match or exceed the industry benchmark. This position will drive business value by identifying denial trends and collaborating with business units to fix the issue as well as prevent it from reoccurring. The System Denials Prevention Coordinator will also serve as a liaison for revenue cycle staff and clinical departments, ensuring effective communication and workflows between all parties, establishing awareness and accountability throughout the system. This position works to appropriately integrate and facilitate best practices, achieve efficiencies, and align with Aspirus' strategic plan.
HOURS: Full Time 1.0 FTE, 80 Hours Biweekly
Experience/Qualifications
Bachelor's degree or relevant years of experience equivalent in a work-related field/discipline from an accredited college or university required Minimum of 5 years' progressive leadership experience working in healthcare environment, especially in revenue cycle, or denials management required Knowledge of health system insurance billing practices highly desired Previous managerial experience highly desired Hospital and professional billing processes and reimbursement Medicare and Medicaid denials and appeals Third-party contracts Insurance protocols, delay tactics, systems, and workflows Federal and state regulations related to denials and appeals
Possesses a high level of critical thinking and analytical skills Ability to work independently Ability to facilitate change effectively with cross-functional teams Ability to motivate, influence, and direct the work of others, often without authority Ability to resolve conflicts and negotiate with others to achieve positive results Ability to act as a thought leader for performance improvement and denials prevention Ability to communicate effectively at all organizational levels, both orally and in writing Ability to take initiative by identifying problems, conceptualizing resolutions, and implementing change Possess efficient time-management skills and proven ability to multi-task under tight deadlines Exceptional writing and communication skills, including the ability to communicate technical concepts to a non-technical audience Strong comfort level with computer systems Ability to use independent, sound judgment with effective decision-making skills Ability to act with professionalism at all times
Position requires limited travel
Employee Benefits
Full benefits packages available for part- and full-time status. PTO accrual from day one! Generous retirement plan with match available. Wellness program for employees and their families.
Our Mission: We heal people, promote health and strengthen communities. Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others. As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.
Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.
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