Clinical Appeals Manager MN
100 Corporate Boulevardonsitemanager$80K – $100K
Posted 3 days ago · via Workday
About this role
City/State: Yonkers, New York Grant Funded: No Department: REV - Utilization Management Work Shift: Day Work Days: MON-FRI Scheduled Hours: 8:30 AM-5 PM Scheduled Daily Hours: 7.5 HOURS Pay Range: $80,000.00-$100,000.00 Job Summary This position directly manages the appeals process at the Wakefield Division of Montefiore Medical Center. This RN/PA/FMG/MD/HIM Professional responds to third party clinical denials, interfaces with health plans, works closely with Finance and Contracting regarding utilization management health plan issues, and advises the Director of denial trends. S/he analyzes Wakefield Division denials and acts accordingly to minimize the financial impact of third party payer denials.…
Read the full description on 3000 Montefiore Medical Center's site →
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
This role is manager-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in 100 Corporate Boulevard. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
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