- 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
- City of New York (New York, NY)
- …of Accounts Payable and Reporting (DAPR) is responsible for the employee expense claim processing , auditing, and data entry. The Office of Fiscal Operations/DARP ... stop payments of checks. - Review documentation submitted by staff to support claims and determine if information submitted is accurate. - Monitor unit mailbox and… more
- Westchester Jewish Community Services (White Plains, NY)
- …Care, Medicaid and 3rd Party Insurance. This position ensures timely and accurate processing of claims , collections, and account reconciliations to support the ... billing for Managed Care, Medicaid, and Third-Party Payers, ensuring timely claim submission, editing, transmission, and verification. + Post insurance carrier… more
- Ellis Medicine (Schenectady, NY)
- …existing structure + Evaluates, designs and implements solutions for accessing, moving, and processing electronic data + Serve as a liaison with medical coding team ... Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working...relationship with the PBO dept. to reduce and address claim issues and denials timely + Conducts training and… more
- SUNY Morrisville (Syracuse, NY)
- …competencies. Teach core topics including: + Medical terminology and anatomy + Insurance claims processing + Coding systems (ICD-10-CM, CPT, HCPCS) + Electronic ... Health Records (EHR) and claim submission + Compliance, HIPAA, and fraud prevention + Reimbursement methodologies and payer systems Prepare students for the AMBA… more
- Intermountain Health (Albany, NY)
- …data to the clinical record. Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts. + Evaluates, ... Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position… more
- Datavant (Albany, NY)
- …resolving complex coding edits efficiently and accurately to ensure timely and compliant claim processing .** **What You Will Do:** + Review medical records and ... and optimizing service outcomes in both hospitals and alternative care settings. ** Claim edit experience is required; Must be proficient in resolving claim… more
- Northwell Health (Lake Success, NY)
- …time off. In this role you will be ensuring timely and accurate claims processing , managing denials, and assisting with billing-related reporting and audits. ... office. Requirements: * 5+ years of experience in medical billing and claims processing , and insurance follow-up. * Certification in medical billing and coding… more
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