{"id":3484351,"url":"https://alion.io/job/trinity-health-denials-coordinator","title":"Denials Coordinator","company":{"id":2293466,"name":"Trinity Health","domain":"trinityhealth.org","url":"https://alion.io/company/trinityhealth-org","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Paycom","truth_index":null},"role":"Administrative","role_family":"Administrative","seniority":"middle","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Minot, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":41000,"max_usd":76000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":2178},"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Excel","optional":false}],"status":"closed","first_seen_at":"2026-10-29T21:15:02Z","employer_posted_date":"2026-10-29","last_verified_at":"2026-11-02T21:21:27Z","board_verified":false,"closed_at":"2026-11-02T21:21:27Z","days_open":4,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":4},"description":"Position Summary:\nThe Denials Coordinator is responsible for coordinating, monitoring, and supporting denial prevention and resolution activities across the healthcare system, including hospital and professional billing operations.\nThis position serves as a central resource for identifying denial trends, analyzing root causes, coordinating corrective actions, and facilitating collaboration among revenue cycle departments, clinical teams, and third-party payers.\nThe Denials Coordinator works closely with Patient Access, Precertification and Authorizations, Health Information Management (HIM), Coding, Clinical Documentation Integrity (CDI), and Patient Financial Services to reduce preventable denials, minimize avoidable write-offs, improve reimbursement, and accelerate cash collections.\nThe position supports the organization's Integrated Revenue Cycle model by promoting shared accountability, process standardization, and continuous performance improvement.\nKey Responsibilities:\nDenials Management and CoordinationCoordinate daily denial management activities across hospital and professional billing operations.\nMonitors denied claims to identify trends, recurring issues, and opportunities for improvement.\nFacilitate timely resolution of denied claims through collaboration with billing, coding, authorization, and clinical departments.\nIdentify high-dollar, high-volume, and recurring denials requiring additional investigation or escalation.\nAssist with the development and implementation of standardized denial management workflows.\nMonitor denial aging and appeal deadlines to minimize timely filing losses.\nCoordinate with internal departments and external payers to resolve complex reimbursement issues.\n\nDenial Prevention and Root-Cause AnalysisConduct root-cause analysis to identify operational, technical, clinical, and payer-related causes of denials.\nIdentify preventable denials related to registration, eligibility, authorizations, medical necessity, documentation, coding, and billing.\nWork collaboratively with departmental leadership to develop corrective action plans.\nMonitor the effectiveness of implemented process improvements.\nIdentify opportunities to improve first-pass claim acceptance and reduce rework.\nSupport proactive denial prevention strategies throughout the revenue cycle.\n\nIntegrated Revenue Cycle CollaborationServe as a liaison between Patient Access, Authorizations, HIM, Coding, CDI, Hospital Billing, and Professional Billing.\nFacilitate communication and coordination between departments to address denial trends and reimbursement barriers.\nParticipate in interdisciplinary denial review meetings and payer-specific workgroups.\nPromote shared responsibility for denial prevention and timely account resolution.\nSupport standardized denial management practices across hospital and physician billing teams.\nAssist leadership in identifying opportunities for cross-training and workflow improvements.\n\nAppeals and Payer RelationsCoordinate the appeals process to ensure timely submission, appropriate documentation, and effective follow-up.\nCollaborate with coding, clinical, and billing staff to obtain supporting documentation for appeals.\nMonitor payer appeal requirements, deadlines, and reimbursement policies.\nTrack appeal outcomes to identify successful strategies and opportunities for improvement.\nAssist with escalation of unresolved or recurring payer issues to revenue cycle leadership and Managed Care.\nSupport payer meetings by preparing denial trends, examples, and supporting data.\n\nReporting and Performance ImprovementPrepare and maintain denial management reports, dashboards, and performance summaries.\nMonitor key performance indicators, including:\nInitial and final denial rates.\nDenial dollars by payer, category, and department.\nAppeal submission and overturn rates.\nDenial aging and resolution time.\nAvoidable write-offs.\nDenial recovery and cash collections.\nIdentify trends and present findings and recommendations to revenue cycle leadership.\nAssist in developing departmental goals and monitoring progress toward established performance targets.\nSupport ongoing process improvement initiatives designed to strengthen financial performance.\n\nCompliance and Quality AssuranceEnsure denial management activities comply with applicable federal and state regulations, payer requirements, and organizational policies.\nMaintain knowledge of Medicare, Medicaid, commercial insurance, and managed care reimbursement requirements.\nSupport accurate documentation and appropriate handling of payer disputes and appeals.\nIdentify potential compliance concerns and escalate them to appropriate leadership.\nMaintain confidentiality and adhere to HIPAA and organizational privacy requirements.\n\nEducation and Process ImprovementProvide feedback and education to revenue cycle departments regarding common denial causes and prevention opportunities.\nAssist with developing standardized procedures, reference materials, and training resources.\nCommunicate payer policy changes affecting reimbursement and denial management.\nParticipate in system optimization, automation, and technology improvement initiatives.\n\nQualifications\nLicenses and Certifications Required:\nNone\nEducational Requirements:\nAssociate degree in Healthcare Administration, Business Administration, Health Information Management, or related field preferred. Equivalent combinations of education and relevant healthcare revenue cycle experience may be considered.\nExperience Requirements:\nMinimum of 3 years of healthcare revenue cycle experience, preferably in billing, denials management, authorizations, coding, or insurance follow-up.\nExperience working with Medicare, Medicaid, and commercial insurance payers.\nExperience in a hospital or integrated healthcare system preferred.\nPrior experience with denial reporting, appeals, or process improvement strongly preferred.\nSpecial Skills or Training Requirements:\nStrong understanding of hospital and professional billing processes.\nKnowledge of payer reimbursement methodologies, claim denials, appeals, and timely filing requirements.\nAbility to analyze denial trends and identify operational root causes.\nStrong organizational, analytical, and problem-solving skills.\nExcellent written and verbal communication skills.\nAbility to collaborate effectively with clinical, financial, and operational departments.\nProficiency with electronic health records, billing systems, Microsoft Excel, and reporting tools.\nAbility to prioritize multiple assignments and meet established deadlines.\nDetail-oriented with a strong commitment to accuracy, accountability, and follow-through.\nAbility to work independently while supporting team-based initiatives.\nKey Performance Expectations - The Denials Coordinator is expected to contribute to measurable improvements in: Reduction of preventable claim denials; Reduction in avoidable administrative write-offs; Increased appeal success and reimbursement recovery; Improved denial resolution turnaround times; Reduced denial-related accounts receivable; Improved first-pass claim acceptance; Increased collaboration and accountability across revenue cycle departments; Improved cash flow through timely denial identification and resolution.\nScope of Responsibility - The Denials Coordinator functions as an operational coordination and performance improvement resource within the Integrated Revenue Cycle. The position does not ordinarily have direct supervisory responsibilities but is expected to coordinate activities across multiple departments, facilitate problem resolution, and provide actionable recommendations to departmental leadership. The position works under the direction of revenue cycle leadership and may be assigned special projects involving payer performance, denial prevention, revenue recovery, and operational improvement.\nPhysical Requirements:\nThis role involves prolonged periods of computer-based work, including extensive keyboarding, data analysis, and electronic documentation review. The position requires sustained attention to detail, repetitive hand movements, and the ability to remain seated for extended durations. Occasional movement or stretching may be needed to maintain ergonomic comfort and productivity.\nEnvironmental Requirements:\nFrequent interaction with billing, coding, clinical, administrative, and financial personnel. Requires extended periods of computer-based work and data analysis. 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