- Intermountain Health (Albany, NY)
- …guidelines + Responsible for primary oversight of revenue cycle functions such as claims processing , denials, payments, customer service, and follow up on ... or commercial payer enrollments for both technical and/or professional fee claim reimbursement. Assist in minimizing provider enrollment AR by monitoring enrollment… more
- Hannaford (Highland, NY)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms if needed. * Maintain organized filing system for invoices, manual ... insurance claims , daily reports, etc.. in accordance with Standard Practice...Relay specific communications to customer from technician or pharmacist processing prescription. * Maintain solid communication within the department.… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …refund requests + Complex account reconciliation + Account adjustments, bad debt processing + Third party, Medicare, Managed Care, and private billing, claim ... + Track and re-bill pending Medicaid accounts + Re-bill claims as needed + Identify pattern problems (improper patient...and private pay + Month-end closing process + Re-bill claims to improve reimbursement from NETRX reporting + Assist… more
- City of New York (New York, NY)
- …and claiming data for data entry into multiple database systems for agency claims submitted annually for Federal and State reimbursement. - Analyze fiscal year ... claims , revenue, invoices and payment vouchers to ensure alignment...monthly Expense, Payment and Claiming reports to ensure accurate processing . Analyze, review and provide recommendations for Agency Program… more
- Hannaford (Gloversville, NY)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms. * Maintain organized filing system for invoices, manual insurance ... claims , daily reports, etc. in accordance with Standard Practice...return pharmacy inventory through proper supplier. * Assist in processing pharmacy outdates and credits including keeping inventory free… more
- Mount Sinai Health System (New York, NY)
- …This role ensures that all team members involved in patient registration, billing, claims processing , denial management, and collections are equipped with the ... and reports. + Strong experience with vendor contract management and invoice processing . **Knowledge, Skills, and Abilities** 1. Demonstrated success in a large… more
- University of Rochester (Rochester, NY)
- …conducts operations that affect the revenue cycle (eg, billing, collections, payment processing ). Develops and implements processes to meet revenue cycle goals in ... + Resolves flagged reports to ensure timely submission of claims to payers. + Monitors and ensures worklists are...timely manner. + Monitors cash flow, receivables, Hold Bills, Claim Edits, and aging reports, as well as payment… more
- Rochester Regional Health (Rochester, NY)
- …actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), ... terminology, physician fee schedules, DRGs, and reimbursement procedures. + Claims and Appeals Processing : Submits and follows up on insurance claims ;… more
- Cardinal Health (Albany, NY)
- …broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process, ensuring timely and accurate processing of ATSP ... for CGT treatments. + **Compliance:** Ensure all contracting and claims activities comply with regulatory requirements and company policies. + **Documentation:**… more
- Mount Sinai Health System (New York, NY)
- …Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the...+ 5 years experience in medical billing or health claims , with experience in IDX billing systems in a… more
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