Denial Management Associate

Health Plus Management, LLC; Uniondale (NY); On-site; USD 26,000 - 28,000; Full time

Job summary

Health Plus Management in New York is seeking an experienced denial management specialist to oversee the denial workflow across our family of practices. You will review denials, guide appeals within contractual timeframes, and ensure accurate, timely responses to insurers.

The role emphasizes identifying denial trends, maintaining documentation, and supporting the team with related tasks. Ideal candidates have 2+ years in denial management, proficiency with Excel and insurance portals, and a

Qualifications

• High School Diploma or equivalent required.
• 2+ years of experience in Denial Management across multiple carriers.

Responsibilities

• Oversee denial review, investigation and responses to denials.
• Determine actions required for timely appeals within contractual timeframes.
• Review carrier guidelines and policies for denied services.
• Prepare responses to delay letters from carriers.
• Identify denial trends and root causes.
• Maintain documentation and notes of all denial activity.
• Support the team with additional assigned tasks as needed.

Skills

Microsoft Excel

Microsoft Word

Attention to detail

Customer service

Problem solving

Team player

Education

High School Diploma or equivalent

Tools

Insurance portals

Job description

Health Plus Management (HPM) is a Physician Support Organization and market leader in clinical practice management in the physical medicine and rehabilitation market with 50+ locations serving Westchester, NYC, NJ, CT, & Upstate NY. HPM provides independent physician practices specializing in musculoskeletal care with professional business development, marketing, and back-office support typically seen in much larger organizations, thereby enabling clients to start and/or grow their private practice beyond what might otherwise be feasible (while maximizing clinical service and patient care).

This position is primarily responsible for overseeing the Denial Management functions for our family of companies.

Duties & Responsibilities:

• Manage timely review, investigation and response to coding denials
• Determines actions required for appeals with contractual timeframes
• Review of carrier guidelines and policies for denied services
• Prepares response to delay letters received by carrier
• Identify denial trends and root causes
• Maintain appropriate documentation and notes of all denial activity
• Supports/Assists team with additional assigned tasks as needed

Education & Training:

• High School Diploma or equivalent required

Knowledge & Experience:

• 2+ years of experience with Denial Management across multiple insurance carriers and specialties

Skills & Abilities:

• Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
• Detail oriented and strong team player
• Superior customer service and communication skills
• Self-starter with strong problem-solving skills
• Ability to meet high productivity and accuracy standards

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 25 pounds at times.

Schedule:

Monday-Friday, 8am - 4:30pm

Pay:

$19-20/hour

Full-Time/Part-Time Full-Time

Exempt/Non-Exempt Non-Exempt

Education and Training High School Diploma or equivalent required

Benefits:

• Medical
• Dental
• Vision
• Disability Insurance
• 401k
• Paid Time Off
• Holidays

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

This position is currently accepting applications.