Temporary Medical Billing & Denial Management Specialist

Samaritan Daytop Village • New York, NY

2d • $30 - $30

About The Position

Temporary Medical Billing & Denial Management Specialist
$30 per hour
21 hours per week
A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area.
Samaritan Daytop Village serves over 33,000 New Yorkers annually within your neighborhoods and communities, so our success depends on those we employ.
The Role
The Denial Management Specialist is responsible for improving agency revenue through established processes of identifying, managing, monitoring, and preventing denials to ensure correct rate reimbursement. This work is carried out in support of the mission and goals of Samaritan Daytop Village.

Requirements

• High School Diploma or Equivalent.
• At least two or three (2-3) years minimum experience in Billing/Entitlements.
• Computer literacy including proficiency in Microsoft Office Suite and PMS.
• Team player and ability to work independently.
• Efficient multitasking and time management skills.
• Detail-oriented with strong organizational skills.
• Ability to handle sensitive and confidential information with integrity

Responsibilities

• Work on all clearinghouse and payer rejections, denials, and submit appeals and rebills.
• Ensures billing and coding are correct prior to sending appeals or reconsiderations to payers. Review all payer EOB/EOP, and notifications regarding denials and/or recoupment notifications.
• Review all assigned denial accounts for categorization, level of appeal, and special requirements for initiating appeals.
• Form an appeal that includes documentation and an argument and follow up with the insurance company about possible reimbursement.
• Under general direction, the denial specialist will provide ongoing clinical review and management of denied claims.
• Provide weekly updates to the Revenue Cycle Management Manager.
• Review, track, and report on the status of appealed claims.
• Collaborate with co-workers on reimbursement error prevention with the aim of decreasing the number of denied claims.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees