Duration :

6 month contract to hire Required Skills & Experience High school diploma or equivalent 3+ years' experience working in denials (following up on appeals, making adjustments, etc.) Experience with prior authorization and insurance follow-up Experience with writing appeal letters Experience utilizing payor portals (EVS, Availity, etc.) Tech Savvy (Excel, Teams, etc.) Detail-oriented Comfortable training virtually Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will be overseeing and managing the insurance denial and appeals process to minimize financial risk and improve reimbursement outcomes.

Primary Responsibilities:

Coordinate and monitor denial management and appeal processes, leveraging clinical, business, and regulatory acumen to reduce financial exposure. Evaluate all external denials related to medical necessity and assess the feasibility of submitting appeals. Draft medical summaries of denied cases for review by hospital leadership and for escalation to legal or regulatory bodies (e.g., Maryland Insurance Administration) when necessary. Identify root causes and trends in denials and create strategies to prevent future occurrences and enhance care delivery efficiency. Maintain tracking records for both concurrent and retrospective denial activity in collaboration with case management and patient financial services teams. Provide data and case reporting to leadership and relevant committees (e.g., Operations Review Committee) Work closely with physicians, utilization review RNs, case managers, revenue cycle staff, and payers during the appeals process Serve as a resource for staff, educating teams on denials and utilization review best practices; support orientation for new staff. Participate in departmental and community meetings or committees as needed.

Job Types:

Full-time, Contract Pay:

$19.00 - $25.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) Dental insurance Health insurance Vision insurance

Education:

High school or equivalent (Required)

Experience:

Appeals:

3 years (Required) Insurance verification: 2 years (Required) writing appeal letters: 2 years (Required) Prior authorization: 2 years (Required) EMR systems: 1 year (Required) insurance denials: 2 years (Required) Ability to

Commute:

White Marsh, MD 21162 (Required)

Work Location:

In person