Denials Resolution Specialist - Revenue Recovery

ViziRecruiter,LLC.; New York (NY); On-site; USD 49,920 - 62,400; Full time

Job summary

A healthcare organization in Bronx, NY is looking for a denial management specialist to research and analyze denials and optimize revenue collection. Ideal candidates will have 3-5 years of experience in healthcare appeals, strong analytical skills, and knowledge of coding standards. A Bachelor's Degree is preferred alongside a Certified Professional Coder (CPC) certification. This position offers a competitive salary range of $49,920.00-$62,400.00.

Qualifications

• Three to five years of experience in appeal/denial management.
• Strong knowledge of health plan requirements.
• Knowledge of CPT coding and ICD10 diagnosis required.

Responsibilities

• Researches and analyzes denials on a daily basis.
• Identifies root causes of denials.
• Processes resubmissions and appeals to maximize revenue.

Skills

Analytical skills

Statistical analysis

EPIC knowledge

Microsoft Excel

Communication skills

Education

Bachelor's Degree (preferred)

Associate Degree (required)

Certified Professional Coder (CPC)

Tools

Microsoft Word

Microsoft PowerPoint

Job description

A healthcare organization in Bronx, NY is looking for a denial management specialist to research and analyze denials and optimize revenue collection. Ideal candidates will have 3-5 years of experience in healthcare appeals, strong analytical skills, and knowledge of coding standards. A Bachelor's Degree is preferred alongside a Certified Professional Coder (CPC) certification. This position offers a competitive salary range of $49,920.00-$62,400.00.