Oklahoma Heart Hospital

Physician-led, all-digital cardiovascular hospital network

Professional Denials Coordinator

Clinical Support & Patient AdministrationPosted on Nov 11

Full-timeOklahoma City, OK, USANo salary listed

About the Job

Requirements

Minimum of two years of experience in professional or clinic insurance follow-up or denials.
Clinical denials experience is preferred; Epic experience is a plus but is not required.
Working knowledge of insurance collections and denials, with an emphasis on professional coding, is preferred.
High school graduation or equivalent is preferred.
CPC certification is strongly encouraged.

Responsibilities

Work on targeted insurance denials to improve collections and reduce open balances.
Handle inpatient notices of admission, authorizations, and subsequent denials.
Assist with first- and second-level appeals under the Denials Manager’s guidance.
Assist in identifying trends and root causes to prevent future denials, and provide high-impact findings to the Denials Manager.
Work under the guidance of a Denials Manager and Denials RN to prepare appeals on denials.
Defend and appeal claims, including researching root causes, collecting required information, adjusting accounts as necessary, resubmitting claims, and performing appropriate follow-up activities.
Submit requests to clarify clinical documentation for accurate coding of denials.
Work with the Denials Analyst and Underpayments Coordinator to call attention to areas of opportunity or system and process errors.

Desired Qualifications

Clinical denials experience.
Epic experience.
Working knowledge of insurance collections and denials, with an emphasis on professional coding.
High school graduation or equivalent.
CPC certification.

Overview

Join Our Team at Oklahoma Heart Hospital (OHH)

ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients’ journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we’re shaping the future of heart care in Oklahoma by serving the state and leading the nation.

Why You'll Love Working Here:

Comprehensive Benefits:
- Medical, Dental, and Vision coverage
- 401(k) plan with employer match
- Long-term and short-term disability
- Employee Assistance Programs (EAP)
- Paid Time Off (PTO)
- Extended Medical Benefits (EMB)
- Opportunities for continuing education and professional growth

Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day!

We can’t wait for you to join our heart-centered team!

Location: Hartford: 7800 NW 85th Terrace, OKC OK 73132

Shift: Full-Time, Days Monday-Friday.

Responsibilities

The Professional Denials Coordinator will work on targeted insurance denials to improve collections and reduce open balances. They will deal with inpatient notices of admission, authorizations, and subsequent denials. The Professional Denials Coordinator will assist with first and second level appeals under the Denials Manager’s guidance. The Denials Coordinator will assist in identifying trends and finding root causes to prevent future denials, providing high-impact findings to the Denials Manager.

Works under the guidance of a Denials Manager and Denials RN to prepare appeals on denials.
Defend and appeal claims, including researching root cause, collecting required information, adjusting the account as necessary, resubmitting claims and all appropriate follow up activities.
Submits requests to clarify clinical documentation for accurate coding of denials.
Works with Denials Analyst and Underpayments Coordinator to call attention to areas of opportunity or system/process errors.

Qualifications

Education: High school graduate or equivalent preferred.

Experience: Minimum of two (2) years in professional/clinic Insurance Follow-Up or Denials. Clinical Denials experience is preferred; Epic experience is a plus but not required. CPC is strongly encouraged.

Working Knowledge: Insurance collections and denials, with an emphasis on professional coding is preferred.

As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. Every team member at OHH plays an integral role in our patients’ experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

About the Company

Oklahoma Heart Hospital

Physician-led, all-digital cardiovascular hospital network

Oklahoma Heart Hospital is a physician-owned cardiovascular care provider with two main campuses in Oklahoma City and a network of 60+ clinics. Its physician-led model aims to speed decision-making and focus on patient-centered care, supported by strong nurse retention. It operates as an all-digital hospital with a MyOHH portal for patients to access records, imaging, and labs, and to manage appointments. The hospital offers interventional cardiology, heart rhythm, heart valve, heart failure treatment, rehabilitation, and related institutes, with a Research Foundation conducting clinical studies for early access to new treatments.

Company size: 1,001-5,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Oklahoma City, OK
Founded: 2002

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