MONTEFIORE MEDICAL CENTER

DENIAL MANAGEMENT ANALYST

MONTEFIORE MEDICAL CENTER(8 months ago)

OnsiteFull TimeMedior$49,920 - $62,400Revenue Cycle/Billing
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About this role

A Denials and Appeals Specialist at Montefiore Medical Center analyzes insurance claim denials to identify root causes and manages resubmissions and appeals to overturn denials and maximize division revenue. The role requires working with payer requirements and coding conventions within a clinical environment serving patients with developmental disabilities. This position is based in Bronx, NY and follows a standard weekday day shift schedule.

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Required Skills

  • Denial Management
  • Appeals Processing
  • Denials Analysis
  • EPIC
  • Excel
  • Statistical Analysis
  • CPT Coding
  • ICD10
  • Communication
  • Multitasking

Qualifications

  • Associate's Degree
  • Bachelor's Degree (Preferred)
  • Certified Professional Coder (CPC)
  • EPIC Cadence Certification (Preferred)
  • HB Certification (Preferred)
  • PB Certification (Preferred)

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