and Appeals Coord

Compensation

Mount Sinai South Nassau provides a salary range in good faith determination of potential compensation to comply with the New York State law on Salary Transparency in Job Advertisements. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Status: Full Time Regular

Shift: DAY SHIFT

Department: Care Coordination

Position Summary

Summary:

The Denials/Appeals Coordinator follows the hospitals and department's mission to meet its objectives in maximizing reimbursement for services provided and ensuring timely cash flow. The Denials/Appeals Coordinator also strives to facilitate patients and/or their families with payments and assists those with financial hardship in the most cost-effective means possible.

Qualifications

Responsibilities:

Education Required

• Must complete in-house orientation program

• High school graduation or equivalent required.

• Associates Degree preferred.

Experience And Skills

• Speaks, reads and writes English

• Preferred one year Insurance appeal/denial experience

• Ability to work in an organized and professional setting

• Requires excellent oral/written communication skills

• Working knowledge of Microsoft Office (word/excel) and other appropriate computer software

• Previous customer service experience.

• Prior office or clerical experience or completion of medical billing/coding courses

• Knowledge and experience with managed care and third party insurance coverage highly recommended

• Typing, filing, and accurate data entry skills.

License/Certifications

•Working Conditions

Other information:

Working Conditions

• Personal Protective Equipment (PPE) worn

• Extensive computer time/sitting

• Frequent telephone use

• Sitting long periods of time in front of a computer

• Must be able to lift, bend, retrieve files

• Able to handle multiple priorities under stress