Denial Management Associate

Health Plus Management (HPM) is a Physician Support Organization and market leader in clinical practice management in the physical medicine and rehabilitation market with 45 locations serving Westchester, NYC, NJ & Upstate NY. HPM provides independent physician practices specializing in musculoskeletal care with professional business development, marketing, and back-office support typically seen in much larger organizations, thereby enabling clients to start and/or grow their private practice beyond what might otherwise be feasible (while maximizing clinical service and patient care).

This position is primarily responsible for overseeing the Denial Management functions for our family of companies.


Duties & Responsibilities:

• Manage timely review, investigation and response to coding denials
• Determines actions required for appeals with contractual timeframes
• Review of carrier guidelines and policies for denied services
• Prepares response to delay letters received by carrier
• Identify denial trends and root causes
• Maintain appropriate documentation and notes of all denial activity
• Supports/Assists team with additional assigned tasks as needed

Education & Training:

• High School Diploma or equivalent required

Knowledge & Experience:

• 2 years of experience with Denial Management across multiple insurance carriers and specialties

Skills & Abilities:

• Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
• Detail oriented and strong team player
• Superior customer service and communication skills
• Self-starter with strong problem-solving skills
• Ability to meet high productivity and accuracy standards

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift up to 25 pounds at times.

Schedule: Monday-Friday, 8am - 4:30pm

Pay: $19-$20/hour