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American Medical Response Coordinator Appeals Denials in Greenwood Village, Colorado

Coordinator Appeals DenialsRequisition ID2021-14455LocationUS-CO-Greenwood VillageEmployment TypeRegular Full-TimeJob DescriptionCan be based anywhere in the USThe Medical Appeals and Denials Coordinator assists the Medical Appeals andDenials team by monitoring Medicare Administrative Contractor (MAC)portals and retrieving documents that require a response from GMR. Thisindividual will help with the tracking of these requests and responses andassist the team with processing appeals as time allows.Essential Duties and Responsibilities:Access, monitor and retrieve documents from various MAC portalsMemorialize documents requiring production in an Excel spreadsheet and forwardExcel spreadsheet to billing agent for processingAssist with reviewing documents prior to forwarding to a MAC or other payor toensure all information is legible and responsive to the requestAssist with contacting operations, hospitals or other care providers whenadditional documentation is needed to support the billing and appeal processPrioritize and organize a high volume of work and meet deadlinesRecommend efficiencies to overall departmental processesComplete required reports and assist with special projects as assignedWork under the oversight of the Compliance Department specific to governmentauditsAdhere to all company policies and proceduresAdherence to and compliance with information systems security is everyone'sresponsibility. It is the responsibility of every computer user to know andfollow Information Systems security policies and procedures. AttendInformation Systems security training, when offered. Report informationsystems security problemsMinimum Qualifications:1+ years previous hands-on medical billing experience in a fast-pacedmedical billing environmentExperience with ambulance coding and appeals is highly desirableEducation/Licensing/Certification:High School diplomaCertified Ambulance Coder (CAC) preferredKnowledge and Skills:Strong knowledge of HCPCS and ICD-10 required; Knowledge of Correct CodingInitiative; prior experience navigating payor and clearinghouse websitesComputer experience in Medical billing software programsInvolvement with Medicare, Medicaid, HMO, and PPO appeals process and resultsDirect insurance company contacts and adjudication procedures knowledgeAdvanced verbal and written communication skill requiredThe ability to handle a very high volume of work with speed and accuracy isessential#GMR_CorpEEO StatementGlobal Medical Response and its family of companies are an Equal OpportunityEmployer including Veterans and DisabledEOE including Veterans and Disabled