Job Details City/State: Bronx, New York Grant Funded: No Department: NoMgr Work Shift: Day Work Days: MON-FRI Scheduled Hours: 8:30 AM-5 PM Scheduled Daily Hours: 7.5 HOURS Pay Range: $49,920.00-$62,400.00 Responsibilities Researches and analyzes denials on a daily basis, identifies root causes, and processes resubmissions/appeals with the goal of overturning the denial and getting paid by the insurance carrier, maximizing revenue for the division. Qualifications Three to five years of progressive experience in appeal/denial management - Preferred Strong knowledge of health plan requirements Strong analytical, statistical analysis skills required Strong knowledge of EPIC, Microsoft Excel, Word and Power Point skills required Knowledge of federal, regional and state payer coverage patterns (CMS, fiscal intermediary, and Administrative) Strong organizational and communication skills; professionalism, able to work with all levels of staff. Bachelor's Degree preferred (Certified Professional Coder (CPC); Associate's Degree required (Medical Billing experience)). Certified Professional Coder (CPC) required EPIC Cadence, HB, PB certifications preferred Knowledge of CPT coding and ICD10 diagnosis required Ability to work and effectively multi-task in a fast-paced clinic environment with patients with developmental disabilities. Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. #J-18808-Ljbffr
DENIAL MANAGEMENT ANALYST • New York, NY, United States
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