Denials Resolution Specialist – Hospital Billing

Mount Sinai Medical Center; New York (NY); On-site; USD 65,885 - 98,827; Full time

Job summary

Mount Sinai Medical Center seeks a Denials Coordinator to manage and resolve denied insurance claims. This position involves analyzing denial trends, coordinating appeals, collaborating with various departments to prevent future denials, and maintaining compliance with regulations. Candidates should have extensive experience in healthcare revenue cycles, strong analytical skills, and proficiency in relevant billing systems. The role offers professional growth within a supportive environment in the heart of New York City.

Qualifications

• Three years of experience in healthcare revenue cycle.
• Strong knowledge of insurance policies, coding (ICD-10, CPT), and denial management systems.
• Ability to manage multiple tasks and deadlines.

Responsibilities

• Analyze denied insurance claims to understand the reasons for denial.
• Coordinate the appeals process for denied claims.
• Work with departments to implement solutions to prevent future denials.
• Maintain relationships with insurance payers for claim resolution.
• Serve as a resource for staff regarding denial issues.

Skills

Analytical skills

Communication skills

Problem-solving skills

Knowledge of billing systems

Organizational skills

Education

HS/GED; Bachelor's degree preferred

Tools

Epic Resolute hospital billing

Electronic Medical Records (EMRs)

Job description

Mount Sinai Medical Center seeks a Denials Coordinator to manage and resolve denied insurance claims. This position involves analyzing denial trends, coordinating appeals, collaborating with various departments to prevent future denials, and maintaining compliance with regulations. Candidates should have extensive experience in healthcare revenue cycles, strong analytical skills, and proficiency in relevant billing systems. The role offers professional growth within a supportive environment in the heart of New York City.