Holyoke Medical Center is in need of an experienced Denial Coordinator Responsiblities: Reviews all denial accounts for categorization, level of appeal, special requirements for initiating appeals. Create and maintain a clinical appeal process for all inpatient denials assuring that proper documentation is provided to support appeals of unauthorized inpatient days or days denied for lack of documentation. Create and maintain a clinical appeal process for outpatient denials where a referral was not obtained and clinical documentation is required. Utilizes denial reports to assess root causes and identify trends.# Share findings with stakeholders Leads a Denials Management Stakeholders team; monitoring identified issues and process Work with highest level of appeal cases; Refer appropriate cases to Physician Advisors and fiscal attorney Coordinates all second level appeals that cannot be referred to attorney consultants Coordinate timely processing of appeal at all levels Requirements: Q...