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  • Denial Management Associate
    Denial Management Associate
    hace 4 días
    $19 por hora
    Jornada completa
    Uniondale

    Health Plus Management (HPM) is a Physician Support Organization and a market leader in clinical practice management within the physical medicine and rehabilitation sector. With over 50 locations across Westchester, NYC, NJ, CT, and Upstate NY, HPM empowers independent physician practices specializing in musculoskeletal care by providing professional business development, marketing, and back-office support comparable to much larger organizations. This enables client practices to establish and grow 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. Duties & Responsibilities: • Manage the timely review, investigation, and response to coding denials., • Determine required actions for appeals within contractual timeframes., • Review carrier guidelines and policies for denied services., • Prepare responses to delay letters received from carriers., • Identify denial trends and their root causes., • Maintain appropriate documentation and notes for all denial activity., • Support and assist the team with additional assigned tasks as needed. Education & Training: • High School Diploma or equivalent is required. Knowledge & Experience: • 2+ years of experience with Denial Management across multiple insurance carriers and specialties. Skills & Abilities: • Proficient in the use of computers, insurance web portals, and keyboarding, with knowledge of Microsoft Excel and Word required., • Detail-oriented and a strong team player., • Superior customer service and communication skills., • Self-starter with strong problem-solving skills., • Ability to meet high productivity and accuracy standards. Physical Requirements: • 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

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  • Billing Associate
    Billing Associate
    hace 6 días
    $19–$24 por hora
    Jornada completa
    Uniondale

    This position is primarily responsible for timely review and submission of medical claims to insurance companies via electronic and paper processes. Duties & Responsibilities: • Review insurance claims for accuracy and completeness as well as obtain and attach any missing documentation prior to submitting claim., • Carefully review procedures billed to ensure proper coding, • Review pre-billing dashboards for claim accuracy, • Preparation of paper claims, • Responsible for completing the proof of mailing, • Daily monitoring of claims with missing information, work closely with offices to obtain and ensure all claims are submitted timely to carriers, • Effectively communicate and correspond with team members and management Education & Training: • High School Diploma or equivalent required, • Certified Professional Coder preferred but not required, • Knowledge of No Fault/Worker’s Compensation guidelines preferred but not required, • 2+ years of experience with billing rules and regulations across multiple insurance carriers and specialties Knowledge and Experience: • Must have a strong knowledge of payers and medical insurance terminology, rules, and regulations, • Proficient in the use of computers, keyboarding with knowledge of Microsoft Excel and Word required, • Self-starter with strong problem-solving skills, • Ability to meet high productivity and accuracy standards, • Knowledge of ICD-10 and CPT codes Skills & Abilities: • Capable of working independently to accomplish individual and team objectives, • Excellent Communication Skills, verbal and written, • Ability to organize and prioritize work to meet strict deadlines, • Strong work ethic, • Excellent attention to detail Schedule: Full-Time, Monday-Friday Pay: $19 - $24/ hour 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).

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