Teams at Adirondack Health

Manages and resolves insurance claim denials, especially surgical and high-dollar accounts. Analyzes denial trends, coordinates appeals, interprets payer policies and explanation of benefits, and collaborates with internal teams to improve reimbursement and reduce recurring denials. Communicates with patients and insurers regarding payment policies while supporting revenue-cycle financial integrity and first-pass resolution.

Provides comprehensive medical-surgical nursing care by assessing patients, developing and implementing care plans, evaluating outcomes, coordinating services, collaborating with the multidisciplinary team, and educating patients and families.

Provides direct medical-surgical nursing care by assessing patients, planning and delivering treatment, evaluating outcomes, coordinating multidisciplinary services, and educating patients and families. Requires graduation from an accredited nursing school and a current New York State nursing license or permit. BSN is preferred.