Job Description
Job Description
Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will support the Denials Appeals and Performance team, a centralized hospital denial team serving 10 hospitals. This role is hospital‑based and denial‑type driven, with work assigned via CARC codes rather than by inpatient or outpatient setting. Denials primarily include no‑authorization (technical) and medical necessity / level‑of‑care (clinical) denials. Denial Coordinators work closely with RN reviewers and fellow technical staff in a fast‑paced, collaborative environment.
This is a production‑focused role, with an expected daily volume of approximately 40 appeals per day, varying in complexity.
Primary Responsibilities:
- Work hospital denial accounts routed through proprietary system based on denial reason
- Review denial letters to determine appeal feasibility and next steps
- Draft and submit clear, detailed appeal ...
Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will support the Denials Appeals and Performance team, a centralized hospital denial team serving 10 hospitals. This role is hospital‑based and denial‑type driven, with work assigned via CARC codes rather than by inpatient or outpatient setting. Denials primarily include no‑authorization (technical) and medical necessity / level‑of‑care (clinical) denials. Denial Coordinators work closely with RN reviewers and fellow technical staff in a fast‑paced, collaborative environment.
This is a production‑focused role, with an expected daily volume of approximately 40 appeals per day, varying in complexity.
Primary Responsibilities:
- Work hospital denial accounts routed through proprietary system based on denial reason
- Review denial letters to determine appeal feasibility and next steps
- Draft and submit clear, detailed appeal ...