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AI Summary

The Denials/Billing Coordinator manages insurance claim denials from identification through final resolution to ensure accurate and timely reimbursement. This role involves partnering with clinical and billing teams to resolve issues, monitor denial trends, and support process improvement initiatives.

Be the backbone of hope and healing.
At Minnesota Adult & Teen Challenge, every role matters in helping people overcome addiction and find a new path forward. Whether you’re working directly with clients or supporting behind the scenes, your contributions make recovery possible. In return, we offer a values-driven workplace, supportive managers, and opportunities to grow. That commitment has earned us recognition from Newsweek as a Best Addiction Treatment Center and seven straight Star Tribune Top Workplace awards.

*This position can sit remotely in the state of Minnesota*

This opening covers for existing employees on leave, but may become permanent!

Job Summary

The Denials/Billing Coordinator ensures the accuracy, compliance, and performance of revenue cycle operations across behavioral health and substance use disorder services. This role resolves claim denials, improves billing processes, and drives accurate, compliant reimbursement across payers.

Partnering across clinical, coding, and billing teams, the Analyst ensures documentation integrity, identifies trends, reduces revenue leakage, and supports consistent, audit-ready practices using tools including the Credible EHR.

Job Summary 

The Denials Coordinator is responsible for managing, investigating, and resolving insurance claim denials to support accurate and timely reimbursement. This position serves as the central point of coordination for denial tracking, appeals management, root cause analysis, and payer follow-up. The Denials Coordinator partners with Revenue Cycle, Clinical, Billing, Coding, and Authorization teams to reduce avoidable denials, improve reimbursement outcomes, and support operational excellence across Minnesota Adult & Teen Challenge. 

Essential Job Responsibilities: 

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The essential functions include the following: 

  • Manage insurance claim denials from identification through final resolution. 
  • Review explanation of benefits (EOBs), remittance advice, and payer communications to determine denial causes. 
  • Research denied claims and gather supporting documentation for reconsiderations and appeals. 
  • Prepare, submit, and monitor appeals within payer-established deadlines. 
  • Partner with billing, coding, clinical, utilization review, and authorization teams to resolve denial-related issues. 
  • Maintain accurate denial logs, documentation, and follow-up records. 
  • Post payments and adjustments accurately according to established procedures. 
  • Monitor denial trends and identify recurring issues affecting reimbursement. 
  • Escalate systemic payer, process, documentation, or authorization concerns to Revenue Cycle leadership. 
  • Assist with payer audits, records requests, and supporting documentation submissions. 
  • Develop and maintain denial tracking reports, dashboards, and performance metrics. 
  • Support process improvement initiatives designed to reduce denials and improve cash collections. 
  • Maintain compliance with payer contracts, regulatory requirements, organizational policies, and revenue cycle best practices. 
  • Participate in departmental meetings, training, and continuous improvement activities. 

Required Skills & Experience (Minimum Qualifications): 

  • Associate degree in Healthcare Administration, Business, Accounting, Finance, or a related field; or an equivalent combination of education and relevant experience. 
  • Two to four years of experience in healthcare billing, accounts receivable, denial management, revenue cycle operations, or a related healthcare finance function. 
  • Strong understanding of insurance claim adjudication, reimbursement methodologies, and common denial causes, including medical necessity, authorization, coding, eligibility, and timely filing. 
  • Working knowledge of payer requirements, appeal processes, deadlines, documentation standards, authorization requirements, and timely filing regulations. 
  • Ability to read, interpret, and analyze Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), remittance advice, and payer correspondence. 
  • Working knowledge of ICD-10, CPT, and HCPCS coding concepts and their impact on claims processing, reimbursement, and denials. 
  • Experience utilizing electronic health records (EHR), billing systems, and revenue cycle software platforms (such as Credible, Epic, Cerner, or similar systems). 
  • Proficiency in Microsoft Excel, denial tracking tools, spreadsheets, reporting dashboards, and data analysis tools used to monitor denial trends and reimbursement performance. 
  • Strong analytical, organizational, problem-solving, and follow-through skills with a high degree of attention to detail. 
  • Excellent verbal and written communication skills. 
  • Ability to manage multiple priorities, meet deadlines, and maintain accuracy in a fast-paced environment. 
  • At least 1 year of freedom from problematic substances.  
  • Must be able to meet specific staff requirements outlined in Minnesota Statutes 245G.11.  
  • Comfort and compassion in working within an organization serving individuals impacted by addiction, mental health challenges, and other life-controlling issues. 
  • Demonstrated commitment to Minnesota Adult & Teen Challenge (MnTC)'s Mission, Culture of Honor, Core Values, and Putting Honor in Action principles. 
  • Must successfully complete and maintain all required training and competency requirements applicable to the position prior to providing direct care or client services, including training related to client rights, confidentiality, mandated reporting, professional boundaries, and other applicable licensing and regulatory requirements. 
  • Must successfully complete a Minnesota Department of Human Services (DHS) background study and maintain eligibility for all DHS background studies, clearances, and requirements applicable to assigned services and programs prior to providing direct care or client services. 

Physical Requirements: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. 

  • Prolonged periods sitting at a desk, working on a computer, and communicating by phone and video conferencing. 
  • Frequent use of computers, keyboards, and other standard office equipment. 
  • Must be able to occasionally move and lift up to 25 pounds. 

Target Compensation Range (Negotiable based on Qualifications):

$20.00-$22.00/hour

Our robust benefits package includes medical, HSA, dental, vision, PTO, dependent care FSA, disability, life insurance and 403b retirement plan.

We seek to recruit, develop and retain the most talented people from a diverse candidate pool in order to successfully meet our mission of helping every Minnesotan find help and healing from addiction. 

Mn Adult & Teen Challenge is an Equal Opportunity Employer and does not discriminate based on any category protected by federal, state or applicable laws.

Reasonable accommodation is provided upon request.

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