Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote
Mount SinaiNew York, New York, United States • New York, New York, United States • New York, United States • Florida, United States
Posted October 31, 2025
Full Time
About the Company
Mount Sinai Health System is an integrated health system based in New York City, offering distinguished care through seven hospital campuses, a medical school, and extensive ambulatory services. The organization prioritizes patient-centric innovation, collaboration, and biomedical education, attracting 48,000 employees dedicated to advancing medicine globally.
Job Description
The Director of Pre Appeals Management leads the hospital’s pre-appels program, ensuring regulatory compliance, efficient resource utilization, and high patient outcomes. This role involves supervision of pre-appels nurses, analyzing utilization data, and collaborating with various stakeholders. The Director will lead denial management and appeal processes to minimize revenue loss and drive improvement in patient satisfaction and financial transparency.
Requirements
- Leadership in pre appeals
- Regulatory compliance (CMS, NCQA, etc.)
- Management of pre-appels nurses and staff
- Collaboration with medical staff, payers, and vendors
- Stay abreast of healthcare regulations
Benefits
- Competitive salary
- Comprehensive benefits package
