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Denial Coordinator

Company: Centene Coproration
Location: Austin
Posted on: December 5, 2019

Job Description:

Description: Position Purpose: Generate and process denial letters and Notice of Action (NOA) for pre services, leveling of care and denied medical services. Maintain the denial and/or appeals logs and assessments in accordance with associated guidelines Responsible for the Medical Management denial process including letter printing, tracking and disposition of letters within contractual guidelines to ensure compliance Serve as the department liaison for all denial and/or appeals issues Train others on denial and/or appeals work processes Prepare monthly, quarterly, and annual reports for denials and/or appeals Review log to ensure compliance with the denial process and turn-around timeframe (TAT) for all denial and/or appeals notifications

Keywords: Centene Coproration, Austin , Denial Coordinator, Other , Austin, Texas

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