Denial Management Associate

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Health Plus Management (HPM) is a Physician Support Organization and market leader in clinical practice management in the physical medicine and rehabilitation market with 50+ locations serving Westchester, NYC, NJ, CT, & Upstate NY. HPM provides independent physician practices specializing in musculoskeletal care with professional business development, marketing, and back-office support typically seen in much larger organizations, thereby enabling clients to start and/or grow their private practice beyond what might otherwise be feasible (while maximizing clinical service and patient care).

This position is primarily responsible for overseeing the Denial Management functions for our family of companies.

• Manage timely review, investigation and response to coding denials
• Determine actions required for appeals with contractual time frames
• Review carrier guidelines and policies for denied services
• Prepare response to delay letters received by carrier
• Identify denial trends and root causes
• Maintain appropriate documentation and notes of all denial activity
• Support/assist team with additional assigned tasks as needed

• High School Diploma or equivalent required

• 2+ years of experience with Denial Management across multiple insurance carriers and specialties

• Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
• Detail oriented and strong team player
• Superior customer service and communication skills
• Self-starter with strong problem-solving skills

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 25 pounds at times.

Schedule: Monday-Friday, 8am - 4:30pm

Pay: $19/hour

Entry level

Full-time

Other

Hospitals and Health Care