Montefiore Medical Center
Overview
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; strong knowledge of EPIC, Microsoft Excel, Word and PowerPoint
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 ICD-10 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.
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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; strong knowledge of EPIC, Microsoft Excel, Word and PowerPoint
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 ICD-10 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.
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