Business Office Associate - Denials and Appeals
NYU Langone Health | |
$41,977.18 - $50,000.00 / yr | |
United States, New York, Mineola | |
160 1st Street (Show on map) | |
Sep 20, 2024 | |
NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go tonyulangone.org, and interact with us onLinkedIn,Glassdoor,Indeed,Facebook,Twitter,YouTubeandInstagram. Position Summary: Job Responsibilities: Reviews Medical Necessity and DRG work queues in Epic and identifies new denials received. Prepares new appeals and complete medical records for timely mailing to Insurance Payors or agencies acting on behalf of the Insurance Payors. Coordinates with appropriate Revenue Cycle departments to request medical records and denial letters as needed. Communicates with Insurance Payers or agencies acting on behalf of the Insurance Payors via email, fax and/or telephone to ensure timely review/resolution of denials/appeals. Researches and ensures appropriate denial rationale letters are in OnBase for Appeal Writers Updates Internal Tracker with specific denial codes and notes in EPIC in comments section Review accounts in Epic to ensure reimbursement is received for overturned appeals. Maintains mailing supply inventory, verifies inventory levels, and notifies manager as to replacement needs or places orders as appropriate. Creates and maintains mailing labels for specific payors. Organizes and updates electronic appeal letter library. Establishes a working relationship with Case Management, Health Information Management, Clinical Documentation Improvement,and other Revenue Cycle Departments. Supports Denial and Appeals team with additional tasks as needed Participates in enterprise and hospital-based meetings as needed. Minimum Qualifications: Preferred Qualifications: Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $41,977.18 - $50,000.00 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. To view the Pay Transparency Notice, please click here |