Coosa Valley Medical Center (CVMC) is a progressive health care organization that believes in quality patient care and values their team members. Below is an exciting opportunity to work with the amazing team at CVMC.

Why Coosa Valley Medical Center?

• Competitive Compensation
• Health & Dental Insurance Day One
• Flexible Schedule Options
• Flexible Pay; No More Waiting For Pay Day

A little about the job....

• Coordinates reviews of all insurance denials related to authorizations, DRG downgrades, level of care and medical necessity.
• Coordinates processes to overturn denials and tracks outcomes.
• Produces reporting and helps develops and implement processes to prevent denials.

Qualifications for the job...

• High school plus one to two years' additional course work.
• Knowledge of field of business or social science acquired through two years of college.
• Bachelor's degree preferred.
• Strong analytical skills.
• Attention to detail and must have Microsoft office experience with advanced Excel skills including use of pivot tables and formulas.
• Excel macro knowledge a plus.
• Experience reviewing insurance denials and payments.
• Strong knowledge of hospital reimbursement, authorization, clinical documentation requirements and medical necessity guidelines.
• Two years' experience in a health care billing office with knowledge of hospital insurance billing and/or remittance posting required.
• DRG calculations, Medicare OPPS, APG knowledge preferred.