Business Office Associate – Denials and Appeals
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- 1134657_RR00097082
- Finance/Accounting/Billing, FIN-Denials and Appeals (C1837), NYU Langone Health
- Full-Time/Regular
- NYU Langone Health
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- 9am-5pm
ABOUT NYU LANGONE HEALTH
NYU Langone Health is a world-class, patient-centered, integrated academic medical center. Ranked as the #1 Hospital for quality and patient safety by Vizient, Inc., and with 10 clinical specialties among the top 10 in the nation according to U.S. News & World Report, NYU Langone’s culture is rooted in excellence in patient care, education, and research. NYU Langone comprises more than 320 locations throughout the New York area and in Florida, including six inpatient locations, a children’s hospital, and four emergency rooms. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, NYU Grossman School of Medicine, and NYU Grossman Long Island School of Medicine. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube, and Instagram.
Working at NYU Langone Health
At NYU Langone Health, there are numerous areas for you as a leadership professional to make an impact on our organization. As one of the nation’s leading medical centers, we need bright, innovative people to step up and take charge of the many initiatives currently taking place here. From our brand new 830,000-square-foot Helen L. and Martin S. Kimmel Pavilion to our new 16 story Science Building, NYU Langone Health is ripe with career-opportunities that are sure to transform the way we think about medical care.
Salaries shown on independent jobs related websites reflect market averages and do not represent information obtained directly from NYU Langone. We invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.
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 to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube and Instagram.
Position Summary:
We have an exciting opportunity to join our team as a Business Office Associate.
In this role, the successful candidate under the general supervision of the Manager of Operations and Analytics for Denials and Appeals, the Denial and Appeals Coordinator is responsible for preparation and/or timely submission of appeals and medical records to third party payers for appropriate reimbursement. Assists the Denials and Appeals Analysts in updating of internal denial tracking tool and Epic notes. Escalates trends and issues to management for resolution.
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:
To qualify you must have a Associate Degree or equivalent
Relevant work experience and acute care hospital experience in Revenue Cycle or Revenue Cycle Operations
Proficiency in Microsoft applications, EPIC, and relevant hospital based clinical computer systems
Evidence of applying critical thinking skills to achieve established goals
Ability and willingness to work a flexible schedule to ensure compliance with deadlines
Demonstrates the ability to handle multiple assignments and carry out work independently with minimal supervision
Capacity to work collaboratively in a team environment
Excellent Organizational Skills
Ability to work under pressure and required timeframes and deliver accurate and timely results
Excellent verbal and written communication skills
One to three years hospital billing experience, receptionist duties, or equivalent demonstrated ability.
One to three years acute care hospital experience in Revenue Cycle or Revenue Cycle operations.
Preferred Qualifications:
Proficiency in the EPIC application with a focus on the various Revenue Cycle modules.
Full understanding of the Denial and Appeal Process
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents.
NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Langone Health’s EEO policies, please click here. Please click here to view the Federal “EEO is the law” poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.
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
How Our Employees Grow
Diana P.
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“The Family Health Centers at NYU Langone Health offers me the opportunity to positively impact the lives of patients and their families. I chose a career here to make a difference at an institution with a reputation for excellence. NYU Langone is patient and employee-centered and they support our professional growth and development by offering a comprehensive benefits package and generous tuition reimbursement.”
Ariana C.
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“I was instantly attracted to the culture at NYU Langone Health. I love the fast-paced environment and how there are so many opportunities for career growth. We are constantly expanding, which helps me learn new things and meet new and interesting people with diverse backgrounds.”
Olga S.
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“I am very proud to work for one of the best hospitals in New York! NYU Langone Health is a great institution that cares about patients and supporting employees. My role as a manager is to make sure that my team members are working as a team to drive our mission forward. Effective teamwork achieves much more than any individual can!”
Yannique S.
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“My daughter was born at NYU Langone Health where we received exceptional care. That was when building a career at NYU Langone became a goal of mine. I wanted to be just like the individuals who surrounded us in our time of need, and I knew I wanted to make a positive impact. Today, I get to do just that as a member of the Medical Staff Services Department. The work I perform each day is crucial in maintaining high standards of patient care and safety within our organization.”
Eileen P.
Director, Revenue Cycle Initiatives
“I chose NYU Langone Health because I wanted to be a part of a world-class health system. I feel a sense of pride working here and feel supported in a truly cohesive and diverse working environment. I have taken a number of career development courses related to leadership. The expansion in training and development curriculums over the years has really been impressive and it’s a testament to how much NYU Langone wants to invest in and develop their in-house talent!”
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“NYU Langone Health is not only my employer, it’s also a community that I am very proud to be a part of.”
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“I saw that there were many opportunities to grow within the organization and used the tuition remission offering at NYU Langone Health to obtain my master’s degree. NYU Langone celebrates their employees and genuinely wants to hire from within, so take advantage of the resources available to you and speak to members of the Talent Acquisition Team, who are helpful.”
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“NYU Langone Health delivers high-quality healthcare with compassion, dignity, and respect to all, without exception. When I was hired as a respiratory therapist, I saw the opportunity to contribute to an exciting forward-thinking, and fast-moving department. I love working in a department where everyone is collaborative and has a high work ethic.”
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At NYU Langone Health, I’ve been fortunate to have leaders that supported my growth within the institution. I have taken many courses that NYU Langone offers, which have been extremely valuable in helping me become the professional I am today. I recently completed the Team Leadership Development Program which has provided me with tools to upskill to the next step in my career. The opportunities here are endless.
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“I was fortunate to receive firsthand training from some of the founding team members of my department. This made my onboarding experience invaluable and now I will get to pass on my knowledge and experience to future new hires within the department and pay it forward. The collaborative spirit at NYU Langone Health has created an excellent work culture where I can work alongside colleagues who share our same company vision to serve, teach, and discover.”
Himanshu T.
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“It has been such a privilege to be a part of NYU Langone Health. It’s a place filled with hard work, cheerful coworkers, and supportive management. My supervisor and manager motivated me to grow personally and professionally. The career development resources offered, such as professional development classes and programs have greatly contributed to my growth.”