Denial Coordinator

Job Title: Denial Coordinator

Department: Health Services

• Denials

About the Role:

Astrana Health is looking for a Denial Coordinator to assist our Utilization Management team. This role will report to the Denials Manager and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in the office and at home on a weekly basis.

What You'll Do:

• Comply with NMM and department policies and procedures to ensure timely and accurate processing of all deferrals and or denials

• Review and process daily assigned deferrals or denials (denial, modify, carve out, etc.) with a minimum of 30-40 letters per day with accuracy and quality

• Ensure daily Failed Fax Report for denials and deferrals is reviewed and letter/notification refaxed and documented in the referral

• Ensure daily monitoring of the Denial Inquiry; refax denial notification or letter, respond to the provider or interdepartmental emails, and document in the referral notes as needed

• Maintain a high level of integrity and confidentiality/patient privacy (HIPAA) of all information (written, verbal, electronic, etc.) that an employee encounters

• Perform other duties, projects, and actions as assigned

Qualifications:

• High School Diploma or GED

• 1+ years of experience working in the healthcare industry

• Experience using Microsoft applications such as Word, Excel, and Outlook

• Ability to communicate with multiple clients at a time

Who We Are:

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for over 1 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise in order to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values:

• Put Patients First

• Empowering Entrepreneurial Provider and Care Teams

• Operate with Integrity & Excellence

• Be Innovative

• Work As One Team

Environmental Job Requirements and Working Conditions:

• Our organization follows a hybrid work structure where the expectation is to work both in the office and at home on a weekly basis. The position is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.

• This position will typically work Monday

• Friday from 8:30 am to 5:00 pm. We also require weekend and holiday coverage if there is a business need.

• The total compensation target pay range for this role is $19.00 - $26.00 per hour. The salary range represents our national target range for this role.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.