Denial Management Specialist - Appeals & Recovery

Delphi Technologies; Uniondale (NY); Vor Ort; USD 26.000 - 28.000; Vollzeit

Zusammenfassung

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

Qualifikationen

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

Aufgaben

• 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.

Kenntnisse

Microsoft Excel

Microsoft Word

Attention to detail

Customer service

Problem solving

Team player

Ausbildung

High School Diploma or equivalent

Tools

Insurance portals

Jobbeschreibung

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