Utilization Review Appeals Coordinator / Henry Ford Hospital Detroit / Full time Days - Detroit, Michigan - 1 day ago - 185210 Apply for Job - A new opportunity is available for a Utilization Review Appeals Coordinator at the Henry Ford Hospital in midtown Detroit. This position is an office environment desk job utilizing a desk top computer. Medium level computer skills are necessary for the position. Position: Full time 40 hours per week Shift: Day shift 8 am to 4:30 pm Benefits: Full time benefit package GENERAL OVERVIEW: Responsible for obtaining and tracking authorizations, denials and additional information requests received from third party payers. Input pertinent information into the ECIN Communication and Denial Applications System, EPIC notes, Authorization Entry Screen and tracking log. Communicates with third party payers relative to appeals. Create, follow-up through resolution, track administrative denials and appeals. MAJOR RESPONSIBILITIES: Receive and process authorizations, denials and additional information inquiries for inpatient and observation services. Review denial rationale, develop rebuttal and create an effective administrative appeal within the timely filing guidelines. Maintain, update the appeals log. Provide weekly totals of account activity. Respond to payer requests, inquiries, and/or complaints. Educate payer personnel on Henry Fords expectations. Justify stance for appeal. Research problem accounts that lack authorizations. Process, familiarize and complete communication forms required by payers. Work directly with Appeal nursing staff regarding clinical issues. Identify problems and urgent matters for immediate resolution. Update ECIN and Epic programs to reflect appeal, approval and denial decisions as received by insurance company response. EDUCATION AND EXPERIENCE: - High School Diploma or equivalent required. - Minimum 1 year experience with denials and appeals. Minimum 1 year experience in medical records coding. - Experience working in ECIN and MPAC preferred. Microsoft Office Suite. - Associate Degree in Health Information Technology or CPC (Certified Professional Coder) CCS (Certified Coding Specialist) required. - Overview Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health care systems, is a national leader in clinical care, research and education. The system includes the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory network and many other health-related entities throughout southeast Michigan, providing a full continuum of care. In 2015, Henry Ford provided $299 million in uncompensated care. The health system also is a major economic driver in Michigan and employs more than 24,600 employees. Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient. The health system is led by President and CEO Wright Lassiter III. To learn more, visit - . - Benefits Whether it's offering a new medical option, helping you make healthier lifestyle choices or making the employee enrollment selection experience easier, it's all about choice. Henry Ford Health System has a new approach for its employee benefits program - My Choice Rewards. My Choice Rewards is a program as diverse as the people it serves. There are dozens of options for all of our employees including compensation, benefits, work/life balance and learning - options that enhance your career and add value to your personal life. As an employee you are provided access to Retirement Programs, an Employee Assistance Program (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other benefits and services. - Equal Employment Opportunity/Affirmative Action Employer Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws. - Create and manage profiles for future opportunities. - Track your opportunities. - Similar Listings - Detroit, Michigan Business (Non-Clinical) May 10, 2018 - Detroit, Michigan Business (Non-Clinical) May 04, 2018 - Detroit, Michigan Business (Non-Clinical) Mar 20, 2018 - © 2018 Henry Ford Health System. All rights reserved.