Under the supervision of the HIM Director is responsible for strategically managing the daily operations of the denials process for Marshall Medical Centers. The Denials Management Coordinator is responsible for coordinating denials and appeals through a cross-departmental organizational structure, including all administrative and clinical functions.

The position requires an extensive knowledge of medical billing and collection processes, systems, and procedures. The ideal candidate would have knowledge of ICD-10 and CPT/HCPCS coding systems as well as be familiar with DRG’s. This position would include daily monitoring of appeal decision time frames, assigning reviews to physician advisors for medical necessity reviews, and entering all information in to appropriate tracking software. The Coordinator would be responsible for following the denials and appeals process from the time the request is received to when an outcome is determined including but not limited to updating financials in the tracking software. This position would also require creating reports and presenting on denials and appeals information.

This position requires frequent interaction with all levels within the organization to review and discuss denials and problem solve any areas of opportunity that are identified. This would include reviewing front-end processes to identify areas of improvement to prevent future denials from occurring. The Denials Management Coordinator would also be expected to be the liaison between the hospital and auditing entities to ensure effective and efficient outcomes are achieved.

• Bachelor’s degree in area of specialty preferred. Bachelor’s degree along with comparable combinations of education and experience will be considered.
• A minimum of 5 years of hospital revenue cycle management experience is preferred with 10 or more years being strongly preferred.

Lake Guntersville, a mountain-lakes jewel, is located approximately 30 miles from metro Huntsville – and is home to Marshall Medical Centers.

Marshall Medical Centers, an affiliate of the Huntsville Hospital Health System, serves the residents of Marshall County and the surrounding area (population approximately 125,000). With two hospitals, eight outpatient locations and a highly-trained team of physicians practicing 28 specialties, Marshall Medical is a confident, convenient choice for local healthcare. Residents can remain close to home and receive excellent care – often provided by those who are neighbors and friends.

Marshall Medical Center South is a 150-bed hospital in Boaz, Alabama, and opened in 1956. Marshall Medical Center North, in Guntersville, opened in 1990 – and – is a 90-bed facility. In addition to the two hospitals, the Gary R. Gore Medical Complex is conveniently located mid-county and is home to several outpatient clinics and a 22,000 square foot comprehensive Cancer Care Center.

Named by the Joint Commission as a “Top Quality Performer” among America’s hospitals, Marshall Medical Centers’ patients can be assured they are being treated in an environment where a premium is placed on quality and best practices.