Healthcare Denials & Appeals Strategy Lead

BronxCare Health System; New York (NY); Presencial; USD 60.000 - 80.000; Jornada completa

Descripción de la vacante

BronxCare Health System is seeking qualified candidates to assist in analyzing payor denials and develop strong appeals to secure reimbursement for acute care services. Responsibilities include conducting departmental performance audits and educating staff on best practices.

The ideal candidate will be a Registered Nurse or physician, or a foreign medical graduate with prior experience in medical chart reviews. Excellent communication skills and computer knowledge are required.

Formación

• Registered Nurse or physician or a foreign medical graduate preferred.
• Prior experience with medical chart reviews in a medical office or hospital.
• Knowledge of Interqual / MCG guidelines is beneficial.

Responsabilidades

• Assist in analyzing payor denials and develop appeals.
• Conduct performance improvement audits and educate staff.
• Maintain knowledge of JCAHO preparation activities.

Conocimientos

Interpersonal skills

Verbal communication

Written communication

Computer skills

Educación

Registered Nurse certification

Physician license or foreign medical graduate

Descripción del empleo

BronxCare Health System is seeking qualified candidates to assist in analyzing payor denials and develop strong appeals to secure reimbursement for acute care services. Responsibilities include conducting departmental performance audits and educating staff on best practices.

The ideal candidate will be a Registered Nurse or physician, or a foreign medical graduate with prior experience in medical chart reviews. Excellent communication skills and computer knowledge are required.