DENIAL MANAGEMENT ANALYST

Introduction To heal, to teach, to discover and to advance the health of the communities we serve.To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.Overview City/State: Bronx, New YorkGrant Funded: NoDepartment: NoMgrWork Shift: DayWork Days: MON-FRIScheduled Hours: 8:30 AM-5 PMScheduled Daily Hours: 7.5 HOURSPay Range: $49,920.00-$62,400.00Responsibilities Researches and analyzes denials on a daily basis, identifies root causes, and processes resubmissions/appeals with the goal of overturning the denial and getting paid by the insurance carrier, maximizing revenue for the division.Requirements Three to five years of progressive experience in appeal/denial management.Preferred Strong knowledge of health plan requirements.Strong analytical, statistical analysis skills required.Strong knowledge of EPIC, Microsoft Excel, Word and PowerPoint skills required.Knowledge of federal, regional and state payer coverage patterns (CMS, fiscal intermediary, and Administrative).Strong organizational and communication skills; professionalism, able to work with all levels of staff.Bachelor\'s Degree preferred (Certified Professional Coder (CPC)).Associate Degree required (Medical Billing experience).Certified Professional Coder (CPC) required.EPIC Cadence, HB, PB certifications preferred.Knowledge of CPT coding and ICD10 diagnosis required.Ability to work and effectively multi-task in a fast-paced clinic environment with patients with developmental disabilities.#J-18808-Ljbffr