DENIAL MANAGEMENT ANALYST

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.

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 Power Point 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's 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.

Department: Pediatrics Bargaining Unit:Non UnionCampus:MOSES Employment Status:Regular Full-TimeAddress:1225 Morris Park Avenue, Bronx

Shift:DayScheduled Hours:8:30 AM-5 PMReq ID:225542Salary Range/Pay Rate:$62,400.00-$78,000.00

For positions that have only a rate listed, the displayedrate is the hiringrate but could be subject to change based on shift differential, experience, education or other relevant factors.

To learn more about the "Montefiore Difference" - who we are at Montefiore and all that we have to offer our associates, please clickhere.

Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history ofdisability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status,or partnership status, or any other characteristic protected by law.

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