Denial Appeals Coordinator

Remote from: USA
Annual salary: Undisclosed
Salary information is not provided for this position. Check our Salary Directory to estimate the average compensation for similar roles.
Department: Healthcare & Medical
Employment type: Full Time,
Job posted: 12 May 2026
Apply before: 12 Jun 2026
Experience level: Midweight
Views / Applies: 18 / 5

Committed to helping people get well and live healthier.

Hospital & Health Care
1985

AI Summary

This role involves managing, tracking, and resolving insurance claim denials and appeals to ensure timely reimbursement. The coordinator will monitor systems, analyze denials, file appeals, and maintain accurate records. They must stay updated on payer guidelines and identify trends to improve claim outcomes. The position requires a high school diploma, 1-3 years of experience in medical billing or revenue cycle, and strong analytical and communication skills. Preferred qualifications include an associate degree and CRCS certification.

Job Complexity

Easy Hard

AI Insight The role requires specialized knowledge of payer guidelines and appeal processes, but it is a coordinator position with clear procedures and moderate complexity.

Salary Analysis

AI Insight The salary for this role was not provided, but based on market data for a Denial Appeals Coordinator in the US, the median is approximately $52,000 per year. This is a typical range for this type of role in healthcare revenue cycle.

Key Skills

Denial Management Appeals Processing Medical Billing Revenue Cycle Payer Guidelines Claim Resolution Analytical Skills Healthcare Compliance Artiva HMS

Cover Letter Sample

Dear Hiring Manager,

I am writing to express my interest in the Denial Appeals Coordinator position. With over 2 years of experience in medical billing and revenue cycle management, I have developed a strong understanding of payer guidelines and appeal processes. In my previous role, I successfully reduced denial rates by 15% through trend analysis and timely appeals. I am proficient in systems like Artiva and HMS, and I hold a Certified Revenue Cycle Specialist (CRCS) certification. I am eager to bring my analytical skills and attention to detail to your team to improve claim outcomes. Thank you for considering my application.

Possible Interview Questions

Can you describe your experience with denial management and appeals processing?

I have over 2 years of experience in denial management, where I monitored queues in systems like Artiva and HMS. I analyzed denials to determine root causes, filed appeals with supporting documentation, and tracked progress to ensure timely resolution. I also identified trends and collaborated with clinical teams for complex appeals.

How do you stay updated on payer guidelines and requirements?

I regularly review payer websites, attend webinars, and subscribe to industry updates. I also participate in training sessions and collaborate with colleagues to share knowledge. Maintaining a reference document for each payer helps ensure compliance.

Describe a time you identified a trend in denials and implemented an improvement.

At my previous job, I noticed a recurring denial for missing authorization. I analyzed the data and found that the issue stemmed from incomplete documentation. I worked with the intake team to create a checklist, which reduced those denials by 20% within three months.

How do you prioritize tasks when handling multiple appeals and deadlines?

I use a ticketing system to track deadlines and prioritize based on the age of the claim and payer timelines. I also set daily goals and communicate with my team to ensure critical cases are addressed first. Regular reviews help me adjust priorities as needed.

What systems are you proficient in, and how do you adapt to new software?

I am proficient in Artiva, HMS, Hyland, and BARRT. I adapt quickly to new systems by reading manuals, attending training, and practicing in test environments. I also leverage online resources and ask colleagues for tips.

Job Summary

The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. This role requires in-depth knowledge of payer guidelines, systems, and requirements to navigate complex denial cases effectively, assist in issue resolution, and help identify trends that can improve claim outcomes.
Essential Functions

Monitors assigned queues and duties across various systems (such as, Artiva, HMS, Hyland, BARRT) to ensure all follow-up dates are current.
Analyzes denials to determine appropriate actions, completes appeals, or routes cases for clinical appeals as needed.
Files and monitors appeals to resolve payer denials, documenting all activity accurately and maintaining logs, account notes, and system records.
Maintains an up-to-date understanding of payer guidelines and requirements related to denials and appeals.
Processes BARRT requests, reviews RAC/Government Audit accounts, and completes necessary rebills and adjustments.
Identifies trends in denials to suggest improvements and reduce future claim issues, providing data for denial and appeal trends as needed.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.

Qualifications

H.S. Diploma or GED required
Associate Degree or higher in Health Information Management preferred
1-3 years of experience in medical billing, revenue cycle, or claims denials and appeals processing required
Prior experience with revenue cycle processes in a hospital or physician office setting required

Knowledge, Skills and Abilities

Strong knowledge of payer guidelines, medical billing practices, and appeal processes.
Proficiency in relevant software and claim management systems, such as Artiva, HMS, Hyland, and BARRT.
Excellent analytical skills for reviewing denial trends and suggesting improvements.
Strong verbal and written communication skills to interact with payers and internal departments.
Ability to prioritize tasks effectively and manage time in a fast-paced environment.

Licenses and Certifications