Facility Appeals Denial Management Specialist
$58.5k - $69.97kUnited Surgical Partners
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 , a nd 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 Data Analyst, Financial Data Governance and Quality.
In this role, the successful candidate for the Data Analyst, Financial Data Governance and Quality, will report to the Assistant Manager, Financial Data Governance and Quality. In this role, the Data Analyst will be responsible for the maintenance and analysis of data within Peoplesoft and other financial enterprise applications. This includes but not limited to maintaining the approval workflow hierarchy, troubleshooting workflow related issues, building queries for data analysis, data metrics gathering, and data cleanup as necessary. The Data Analyst must be capable of completing multiple tasks with precision and timeliness in a fast paced environment. Having the ability to adapt to and utilize new technology, and communicating effectively with all levels in the institution including senior leadership is essential..
Job Responsibilities:
* Provide customer support and resolve Salesforce tickets or emails sent to group mailbox related to PeopleSoft including but not limited to approval workflow and security for enterprise reporting tools in a timely manner * Perform user security administration for financial reporting applications i.e. PeopleSoft Business Intelligence * Perform User Acceptance Testing for PeopleSoft upgrades, enhancements, and defects related to PeopleSoft Authorization and other modules as assigned * Analyze and perform data updates to PeopleSoft Authorization master data * Monitor new chartstring creation and assign workflow approvers as appropriate * Perform routine reviews of terminated users and department change reports in PeopleSoft Authorization and coordinate with Departments to update accordingly * Collect and analyze financial data and assist Assistant Manager to create definitions, standards, and consistency in use of financial data across the institution * Establishing master data dictionary of PS tables and assist in securely administering PSF data connections * Support ad hoc data queries and reports as needed by Management/Leadership * Become subject matter expert (SME) of data analytic applications for the data Management/Governance teams and assist with streamlining existing processes using data analytics tools * Performs other duties as assigned by Assistant Manager Minimum Qualifications:
To qualify you must have a Bachelors degree with a major in a business subject (e.g. accounting, finance, economics) or information systems/technology and minimum of 1-2 years of related work experience. Strong critical thinking and analytical skills, excellent communication with various audiences, and meticulous attention to detail are required. Must be well versed in Excel, SQL, and past working experience with ERP environment application (PeopleSoft in particular) is a plus.
Preferred Qualifications:
Work experience as an analyst working with data mining, reporting, or systems is preferred.
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 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 $58,500.00 - $69,970.78 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
Required Skills
Required Experience
$29.7 - $31.8 per hour
...technology-enabled revenue cycle management solutions for health... ...Position Summary The Acute Coding Appeals Specialist integrates medical coding... ...Related Group (DRG) denials to support the assigned DRG... ...Experience Previous inpatient facility coding experience, working...FacilitiesTemporary workWork at officeLocal areaRemote work- ...A healthcare solutions company seeks an Acute Coding Appeals Specialist to manage medical coding appeals and denials. Candidates should have a minimum of 5 years coding experience, including inpatient facility coding, and hold an active coding certification. This remote...FacilitiesRemote work
$36 - $40 per hour
...company specializing in mid-Revenue Cycle management within the healthcare industry. Our... ...in your coding career. If you are an Appeals and Denials Nurse looking for a new opportunity to... ...denials will be from post-acute care facilities. (mostly behavioral health patients with...FacilitiesPermanent employmentFull timeRemote workWork visa- ...Prospective Payment & Revenue Management SpecialistJob Title :... ...& Revenue Management Specialist is responsible for... ...and post-payment denial process.Key responsibilities... ...prepare or support appeals for denied claims.The... ...Inpatient Rehabilitation Facility Prospective Payment...FacilitiesContract workLocal area
- ...TELCOR Inc is seeking a detail-oriented Remote Billing Specialist. This full-time position manages operational revenue cycle tasks, focusing on payer denials, unpaid balances, and trend identification to enhance customer outcomes. The ideal candidate will have at least...SuggestedFull timeRemote work
- ...Shriners Children's is seeking a Denials Management Follow Up Representative in the United States. The role focuses on following up on payor responses to appeals, coordinating denial activities, and maintaining tracking applications. Candidates should have 5-7 years in...Remote work
- ...A healthcare service provider in the United States seeks a Denials & Appeals Coordinator responsible for managing and resolving denials and appeals to ensure timely reimbursement. The ideal candidate should have a high school diploma or GED, along with 1-3 years of relevant...
$27.88 - $36.06 per hour
...healthcare service provider is seeking an AR Follow-Up Specialist III, focusing on resolving coding-related denials and appeals while collaborating with coding professionals.... ...Duties include preparing appeal documents and managing outstanding claims submissions. The position...Hourly payRemote work- ...Immediate need for a talented Appeals Specialist II . This is a 06+months contract opportunity... ...reconsideration requests from providers/facilities Modify authorizations Respond to... ...learning system/processes Utilization Management Billing/coding (typically found in medical...FacilitiesContract workLocal areaImmediate startRemote work
- ...project needs including Project development, management, and closeout services in support of... ...Memos (DMs), compliance, closeouts, appeals, etc. These individuals may perform a wide... ...of documentation, financial information, facility maintenance records, and other relevant...FacilitiesPermanent employmentTemporary workImmediate startRemote workFlexible hours
$23.69 - $32 per hour
...A healthcare administration firm is seeking an Accounts Receivable Specialist II to manage collections on unpaid accounts. Candidates should have strong customer service skills, knowledge of insurance benefits, and preferably experience with Epic billing systems. This...Hourly payRemote work- ...transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting... ...re your trusted partner in innovation. The Redetermination (Appeals) Specialist supports the Medicare Appeals team by performing non-medical...For contractorsWork experience placementWork at officeRemote workWork from home
- ...position that involves analyzing denied claims, resolving account denials, and maintaining records of claims activities. Ideal... ...expertise in medical terminology, and a background in denials management. Knowtion Health offers a competitive benefits package including...Remote work
$10 per hour
...healthcare solutions provider is seeking a Certified Professional Coder (CPC) to manage denial issues and ensure accurate medical billing. The ideal candidate will analyze denials, manage appeals, and ensure compliance with coding guidelines. Applicants should have a CPC...Full timeRemote work$13.41 - $29.06 per hour
...and Medicaid Services (CMS). Essential Job Duties Enters denials and requests for appeals into information system and prepares documentation for... ...experience. Customer service experience. Organizational and time management skills; ability to manage simultaneous projects and...Hourly payWork experience placementWork at office$33.05 - $49.6 per hour
...Cycle - Integrity Operations: Facility Coding Denials Status: Full time Benefits... ...required: Coding Specialist (CCS) certification issued... ...American Health Information Management Association (AHIMA), or Health... ...hospital coding denial and appeal processes as directed. Ensure...FacilitiesDaily paidFull timeTemporary workPart timeWork at officeLocal areaRemote workMonday to FridayFlexible hoursShift workDay shift$80k - $90k
...Services, Patient Transportation, Patient Observation, Healthcare Facilities Management, Sterile Processing Services, and Ambulatory EVS. Learn... ...Job Summary Working as an Sterile Processing Project Specialist - Travel, you will be responsible for directing and leading...FacilitiesHourly payLocal areaRemote workFlexible hours- ...Santa Barbara Cottage Hospital is hiring an LTC Utilization Management Reviewer for remote work in New Mexico. The role involves conducting Nursing Facility Level of Care determinations, performing utilization reviews, and ensuring services meet long-term care criteria...FacilitiesRemote work
$30 - $33 per hour
...Job Title: Senior Dispatch Specialist, StuyTown FLSA Status: Non- Exempt, Hourly... ...Living, a multi-family residential property management company that elevates, oversees, and... ...team, you'll be working closely with our facilities team to assist residents with urgent issues...FacilitiesHourly payFlexible hoursNight shiftWeekend work$27.69 per hour
...clients a supportive, structured therapeutic, safe, and drug-free facility. Homeless (often mentally-ill and substance-abusing) men and... ...safe, and drug-free facility. It provides comprehensive case management services to 100 families who are in a transitional residence...FacilitiesHourly payPermanent employmentFull timeContract workShift work$36 - $49 per hour
...to join our team as a Senior Emergency Manager - Per Diem. In this role, the successful... ...of EM+ER equipment and inventory. The specialist will also support emergency response activities... ...with staff, managers, departments, and facilities across the enterprise Support review...FacilitiesHourly payDaily paidWork experience placementInternshipNight shiftWeekend work$93.5k - $110k
...Job Title IFM Performance and Governance Specialist Job Description Summary Program coordination and management for Facilities Business Operations on a mid-sized client account. Focus areas to include: Compliance, Governance, Communication. Job Description *...FacilitiesMinimum wageContract workWork at officeFlexible hours$65.52k - $89.04k
...have an exciting opportunity to join our team as a Emergency Management Specialist. In this role, the successful candidate is... ...professional relationships with staff, managers, departments and facilities across the NYULH Enterprise Work with staff, managers, departments...FacilitiesWork experience placementNight shiftWeekend work- ...state-of-the-art, 261-bed facility that includes the Queens Cancer... ...of health information management. Performs quality review of... ...clinical record. 4. Monitors denials and appeals. Performs DRG denial... .... 8. Confers with coding specialists, and oversees and evaluates...FacilitiesShift work
$27 per hour
...Job Title: Staffing Specialist Client: Well Known Facilities Organization Location: Long Island Pay: $27/hour ***Contract... ...Staffing Specialist works under the direction of HR Management and supports the corporate and field operations...FacilitiesContract workTemporary workWork at officeLocal area$70k
...Impact You'll Make: The Process Safety Specialist provides technical services and guidance... ...evaluation, and improvement of manufacturing facilities, processing equipment, handling methods,... .... Reports to: Process Safety Consulting Manager Work Model: Remote Work Location: US-...FacilitiesFull timeTemporary workRemote workWork from homeVisa sponsorshipLong distanceFlexible hoursShift work$92k - $110k
...industry, join our team as we help shape a brighter way forward. What this job involvesProvide support of Integrated Facilities and Project Management clients and internal stakeholders related to optimization of JLL managed services operations and sourcing strategies....FacilitiesDaily paidContract workTemporary workLocal areaImmediate startRemote work- ...POSITION OVERVIEW: The Behavior Intervention Specialist, Level 1 will design, implement and monitor the Behavior Management Programs, Instructional Goals and Valued... ...regulations as they apply to the Intermediate Care Facility (ICF) and Independent Residence Alternative (...FacilitiesLocal areaMonday to FridayFlexible hours
$125k - $212k
...realize their greatest potential. Title and Summary Senior Specialist, Product Management Overview: • The North America Markets (NAM) Consumer... ...eligible roles; fitness reimbursement or on-site fitness facilities; eligibility for tuition reimbursement; and many more....FacilitiesFull timePart timeWorldwideFlexible hours$40.77 per hour
...NY HELP No Agency Cannabis Management, Office of Title Program Specialist 1 (Cannabis) - VID 216805 Occupational Category Other Professional Careers... ...inspections of applicants and licensee physical facilities. Duties include, but are not limited to:• Provide research...FacilitiesHourly payFull timeTemporary workWork experience placementWork at officeRemote workVisa sponsorshipAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Facility Appeals Denial Management Specialist. Be the first to apply!
- vetting specialist New York, NY
- protection specialist New York, NY
- mental health specialist New York, NY
- outreach specialist New York, NY
- fixed income specialist New York, NY
- community outreach specialist New York, NY
- registration specialist New York, NY
- accessibility specialist New York, NY
- intake specialist New York, NY
- bilingual specialist New York, NY


