Non-Clinical - Skilled Trades Job In New York
Denial Appeals Specialist
This job was posted 4 days ago. Be one of the first 5 applicants.
We are seeking a Denial Appeals
Specialist in Brooklyn, NY, to act as a hospital liaison with third-party
payers. In this role, you will review denied claims, write appeals, and
retrospectively pre-certify Medicaid, Medicare, and private insurance accounts.
Your responsibilities will include
conducting utilization chart reviews, analyzing denial rationales, and
providing medical necessity appeal services. You will audit patient records for
retrospective pre-certification, identify areas for process improvement, and
ensure compliance with Medicare guidelines. Additionally, you will draft appeal
letters, research relevant regulations, and develop strategies to reduce
denials. Timely filing of appeals with Medicare and private insurers is
essential.
Schedule: Full
Time – Monday through Friday 8:30am – 5:00pm
Compensation: $78,500 – 85,000
Qualifications:
- BA/BS in Health Care Management
- Minimum 5 years of medicine/clinical
and/or denial/appeals management/utilization review experience in a health
related setting.
Brooklyn is a vibrant and dynamic borough
with a rich tapestry of culture, history, and community. Whether you're
exploring its iconic landmarks, dining at its world-class restaurants, or
immersing yourself in its diverse neighborhoods, Brooklyn offers a truly unique
and unforgettable experience.
AAS Healthcare Staffing, a national Permanent Provider Staffing and Locum Tenens partner, leverages over a decade of expertise to meet healthcare providers’ and healthcare delivery clients’ needs. Our industry experts craft tailored solutions for unique talent acquisition challenges, aligning seamlessly with job seekers’ geographic and professional requirements. Our organization was founded by healthcare leaders, adept at helping healthcare providers navigate the ever-changing healthcare delivery landscape. AAS continues to be a leading service provider connecting job seekers to the highest quality permanent and locums positions available.