APPLICATION ANALYST

Support the overall delegated submission and provider enrollment of Montefiore Health System (MHS) by serving as a primary contact for the review of monthly files from the health plans, replies from the health plans of 38+ weekly submission files, audits, and claim edits with the goal of verifying all updates, adds and terms were properly done to avoid claim and authorization denials. This position should reduce or eliminate $405,000 annually in credentialing related write-offs.

Requirements:

• Effective documentation skills as well as advanced knowledge of Microsoft Excel are essential
• Knowledge of health insurance industry and benefit plan designs
• Bachelor's degree or higher preferred but not required

• The qualified candidate will demonstrate ability to establish two-way communication by clearly defining expectations, communicating through a variety of methods, actively listening to ideas and concerns, and responding in an appropriate manner, complete responsibilities appropriately and timely, retain composure under stress.

Department: CMO Bargaining Unit: Non Union Campus: YONKERS Employment Status: Regular Full-Time Address: 100 Corporate Blvd, Yonkers

Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 214436 Salary Range/Pay Rate: $80,000.00 - $80,000.00

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

To learn more about the "Montefiore Difference" - who we are at Montefiore and all that we have to offer our associates, please click here.

Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.

Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.

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Mission:

To heal, to teach, to discover and to advance the health of the communities we serve.

Vision:

To be a premier academic medical center that transforms health and enriches lives.

Values

Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

• Humanity
• Innovation
• Teamwork
• Diversity
• Equity