NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Work Shifts

ROTATIONAL SHIFT

Job Description

Position Summary:

A member of the revenue cycle process, the Denial Coordinator is responsible for conducting in-depth Account Receivable analysis on denied receivables in an effort to maximize revenue, trend denials and address payment variances. The candidate must exhibit knowledge of policies and procedures related to claims processing. The Denial Coordinator will be versed in all denials and should be able to assist team members with questions and best practices for denial resolution.

Essential Job Functions:

• Reviews all denied accounts for categorization, anticipate level of review and create standard processes for denial follow up
• Establishes standard workflow for denial follow up according to the claim adjustment reason and remark codes
• Utilizes EPIC reporting tools to compile data for review individually and with Finance Leadership
• Provides analytical driven feedback to recommend and or establish process changes
• Ensures timely and accurate follow-up of denied claims
• Leads denials projects as assigned by management
• Tracks denial review outcomes leading to reimbursement

Minimum Qualifications
1. A Baccalaureate Degree from an accredited college or university in Business Administration, Community Health, Psychology or related discipline with one year of full-time experience in a supervisory or administrative capacity in business management systems, general administration, health care and medical/patient systems administration; or,
2. A satisfactory combination of education, training and experience.

In addition, you can submit your resume to METCareers@nychhc.org with the Job Title and Job ID # of the job posting that you applied to in the subject line of the email.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs