- Northwell Health (Lake Success, NY)
- …+ Coordinates clinical documentation requests to business office to ensure timely appeals . + Develops and implements policies and procedures to facilitate billing ... and maximize case collections. + Reviews and recommends improvements for financial management of each billing area. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with… more
- Brighton Health Plan Solutions, LLC (Melville, NY)
- …healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals . This job description is not designed to cover or contain ... a comprehensive listing of activities, duties or responsibilities, and activities may change, or new ones may be assigned at any time with or without notice. Primary Responsibilities * Listen attentively to customer needs and concerns; demonstrate empathy and… more
- Northwell Health (New Hyde Park, NY)
- …+ Coordinates clinical documentation requests to business office to ensure timely appeals . + Develops and implements policies and procedures to facilitate billing ... and maximize case collections. + Reviews and recommends improvements for financial management of each billing area. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with… more
- University of Rochester (Rochester, NY)
- …edits, and obtains signatures for non-routine letters of correspondence related to appeals on denied claims, including compiling all necessary information and drafts ... for provider signature. + Manages provider(s) documentation and information. + Composes and types of non-routine correspondence providing factual information. + Arranges travel, conference registration, and hotel accommodations. + Interfaces with… more
- University of Rochester (Rochester, NY)
- …in selecting for routine and non-routine letters of correspondence related to appeals on denied claims, billing and patient communications. + This includes compiling ... all necessary information and drafts for provider signature and ensuring best practices and following University polices and guidelines. + Obtains hospital medical records for information requested by physicians, insurance companies, and attorneys. + Master… more
- Rochester Regional Health (Rochester, NY)
- …coverage policies and/or phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed according to department ... policy and procedure. + Document actions appropriately and follow-up with payers to ensure they take actions promised. Follow-up on claims with no responses. Manage large workload using tracking tools to ensure we don't fail to follow-up before a payer's… more
- Highmark Health (Albany, NY)
- …correspondence inquiries (routine, priority Congressional / Department of Defense), and appeals . Ensures that all processes are compliant with requirements and ... Provides direction for priority Congressional and Department of Defense inquiries and appeals . + Performs administration tasks such as leave approvals and functions… more
- Cardinal Health (Albany, NY)
- …appropriate team member (when applicable) + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for ... + Must follow through on all benefit investigation rejections, including Prior Authorizations, Appeals , etc. All avenues to obtain coverage for the product must be… more
- Justice, Bureau of Prisons/Federal Prison System (New York, NY)
- …in security designations and custody classification. Experience entering and tracking appeals filed by inmates and assisting with researching and preparing responses ... to inmate appeals . Experience in providing assistance to contractors in the...This position IS included in the bargaining unit. The representative rate for this position is $95,845 per annum… more
- Intermountain Health (Albany, NY)
- …updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals , to facilitate corrective action planning for improved processes. 7. ... experience leading others or leading project or programs. Certified Revenue Cycle Representative (CRCR) Certification completed within 3 months of hire. Plus one of… more