Appeals Coordinator in Newark, NJ at SAINT MICHAEL'S MEDICAL CENTER

Date Posted: 10/8/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    111 Central Avenue
    Newark, NJ
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    10/8/2018

Job Description

The appeals coordinator essentially works to coordinate the denials and appeals management process. Appeals coordinator is also responsible for coordinating all audit correspondence, conducting oversight of all RAC/audit functions, and following all RAC/audit activity to closure. Appeals coordinator will help prepare medical records for Government/Commercial payer audits, timely filing of appeal correspondence, track and follow up of denials while working closely with the Corporate RAC team/ Facility Appeals coordinator. The Appeals coordinator will also serve as the primary contact and coordinate the work to maintain integrity of tracking government review audits (RAC, MAC, CERT, ADR, Pre/Post Probes, QIO and Medicaid/Commercial payers) as assigned. The Appeals coordinator will further support the department needs for Release of Information, or other duties as assigned.