- Mount Sinai Health System (New York, NY)
- …Interacts with these agencies to determine the effectiveness and accuracy of claim submission/processing in order to ensure all reimbursement forms and documentation ... are compliant. + Implements departmental policies, goals, objectives and procedures Evaluates productivity of staff and makes suggestions for changes in procedure and staffing to enhance the performance in this area. + Determines staffing requirements,… more
- Citigroup (New York, NY)
- …**Risk Management:** Monitor account activity, manage "tickler" items, and oversee claim submissions, adhering to contractual and legal obligations. + **Client ... Communication:** Serve as a primary point of contact for client inquiries, providing timely and accurate resolutions. + **Sales Support:** Participate in sales calls and client presentations to promote Escrow Agent services. + **Compliance:** Adhere to all… more
- WMCHealth (Hawthorne, NY)
- …management, Medicaid and Medicare. + Experience in establishing and managing claim denial activities, collection processes and methodology. + Significant knowledge ... of healthcare payer reimbursement and proficiency in working with patient accounting systems. + Clear understanding of the impact Denials Management services has on Revenue Cycle operations and financial performance. + Knowledge of computer applications and… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 USC 7405 of a physician graduate of a school of… more
- Aspen Dental (East Syracuse, NY)
- …managers' delegated assignments. + Responds to and resolves issues related to claim adjudication, patient and billing inquiries, while seeking managers guidance for ... non-routine inquiries or escalated concerns. + May be required to meet position related productivity and quality standards. + Other duties as assigned. **Requirements/Qualifications:** + Education Level: High School diploma or equivalent. + Job… more
- Veterans Affairs, Veterans Health Administration (Castle Point, NY)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 USC 7405 of a physician graduate of a school of… more
- Molina Healthcare (Albany, NY)
- …cross-functional, highly matrixed organization * SQL proficiency * Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, ... etc. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired To all current Molina employees: If you are interested in applying for this position, please apply… more
- Catholic Health Services (Melville, NY)
- …Helps to resolve problems and recommends solutions, including documentation design and claim editing in the EMR, where there is opportunity for improvement. Actively ... identifies opportunities for improvement, concerns, and trends and develops and implements action plans for such findings. Evaluates and communicates outcomes based on data and metrics chosen to demonstrate success of the plan. Collaborates with medical staff… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 USC 7405 of a physician graduate of a school of… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 USC 7405 of a physician graduate of a school of… more