Denial Management Specialist - Revenue Recovery

3000 Montefiore Medical Center; New York (NY); On-site; USD 50,000 - 62,000; Full time

Job summary

Montefiore Medical Center in Bronx, NY is seeking a Denials/Appeals Analyst responsible for researching and analyzing insurance denials, identifying root causes, and submitting resubmissions to overturn denials and maximize revenue for the division.

Candidates should have 3-5 years in denial management, knowledge of health plan requirements, and strong skills in EPIC, Excel, Word and PowerPoint; CPC certification and CPT/ICD10 knowledge are preferred. Bachelor's degree preferred.

Qualifications

• Three to five years of progressive experience in appeal/denial management.
• Strong knowledge of health plan requirements.
• Strong analytical, statistical analysis skills.
• Knowledge of CPT coding and ICD-10 diagnosis.
• Experience with EPIC, Excel, Word and PowerPoint.
• Bachelor’s degree preferred; CPC certification preferred.

Responsibilities

• Researches and analyzes denials daily.
• Identifies root causes of denials.
• Processes resubmissions/appeals to overturn denials and maximize revenue.

Skills

Analytical skills

Multi-tasking

Communication skills

Organization

Team collaboration

Research and analysis

Education

Bachelor's degree

Associate's degree

Certified Professional Coder (CPC)

Tools

EPIC Cadence

EPIC HB

EPIC PB

Microsoft Excel

Microsoft Word

PowerPoint

Job description

Montefiore Medical Center in Bronx, NY is seeking a Denials/Appeals Analyst responsible for researching and analyzing insurance denials, identifying root causes, and submitting resubmissions to overturn denials and maximize revenue for the division.

Candidates should have 3-5 years in denial management, knowledge of health plan requirements, and strong skills in EPIC, Excel, Word and PowerPoint; CPC certification and CPT/ICD10 knowledge are preferred. Bachelor's degree preferred.