Job Description

Job Summary 

The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers, internal departments, and revenue cycle teams to identify and address denial trends. This role plays a critical part in the denials management process, supporting efforts to improve claims resolution, reduce future denials, and ensure compliance with payer guidelines. 

As a Denial Coordinator at Community Health Systems (CHS) - SSC Nashville, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k.


Essential Functions

Monitors assigned denial pools and work queues in Artiva, HMS, Hyland, BARRT, and other host systems, ensuring timely follow-up on denials and appeals. Conducts follow-up calls and payer portal research to track the status of submitted appeals and claim determinations, documenting all actions taken. Communicates with key stakeholders across revenue cycle, billing, and clinical teams to resolve denial trends and improve claim submission accuracy. Tracks and documents all denial and appeal activity, maintaining accurate records in system logs, account notes, and tracking reports. Ensures compliance with all payer guidelines and regulatory requirements, keeping up to date with policy changes and appeal submission rules. Manages BARRT requests (Outbound/Inbound) in a timely manner, ensuring that all required documentation and system updates are completed. Identifies root causes of denials and collaborates with internal teams to implement process improvements that reduce future denials. Prepares and submits appeal documentation, ensuring that all required medical records, forms, and supporting materials are included. Performs other duties as assigned. Complies with all policies and standards.

Qualifications

H.S. Diploma or GED required Associate Degree or higher in Healthcare Administration, Business, Finance, or a related field preferred 1-3 years of experience in denials management, insurance claims processing, or revenue cycle operations required Experience in revenue cycle processes in a hospital or physician office required Experience with payer appeals, claim resolution, and healthcare billing systems preferred

Knowledge, Skills and Abilities

Strong understanding of payer guidelines, claim adjudication processes, and denial management strategies. Proficiency in Artiva, HMS, Hyland, BARRT, and other revenue cycle applications. Excellent problem-solving skills, with the ability to analyze denial trends and recommend corrective actions. Strong written and verbal communication skills, with the ability to engage effectively with payers, internal teams, and leadership. Detail-oriented with strong organizational and documentation skills, ensuring compliance with payer appeal deadlines. Ability to work independently and manage multiple priorities in a fast-paced environment.

We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.

The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment.

Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.