- Constructive Partnerships Unlimited (Bronx, NY)
- Community Habilitation Specialist Type of Position 4/5 Search Location(s) Bronx, NY Apply Now ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
- City of New York (New York, NY)
- …public to perform a preliminary assessment of the individual's needs and/or claims of discrimination. - Perform data entry, generate letters, and otherwise ... all duties as needed to advance the work of the LEB. HUMAN RIGHTS SPECIALIST (COMM - 55018 Qualifications 1. A baccalaureate degree from an accredited college plus… more
- City of New York (New York, NY)
- …from DCAS, DOE, H+H, and non-City payroll entities into the MBF database. - Claims Processing: Review and process Health and Fitness claims in accordance with ... program guidelines. - Inquires Processing: Answer phone and email inquiries from active managerial employees and retired Management Benefit Fund members. COMMUNITY COORDINATOR - 56058 Qualifications 1. A baccalaureate degree from an accredited college and two… more
- Intermountain Health (Albany, NY)
- …queues and communicate issues and trends to leadership. Collaborates with AR to identify claim denial trends and with Coding to identify trend denials related to CPT ... codes and specific payer types. + Coordinates all aspects of provider enrollment with commercial and government (Medicare and Medicaid) professional fee payer contracts for an entire market. Ensures enrollment is completed timely and accurately. Follows-up… more
- Mount Sinai Health System (Elmhurst, NY)
- …issues that may cause charge lag. 8. Assist with clean up projects for Claim Edit holds are placed for providers pending certification with Medicaid for electronic ... billing, and Follow Up work queues are monitored for enrollment denials. Supplies additional information as requested from third party carrier. 9. Coordinates epaces enrollment and gives access to the provider listing for billing vendor use. 10. Manages One… more
- M&T Bank (Getzville, NY)
- …being taken timely. Incumbent is responsible to monitor the account from Proof of Claim filing to removal ensuring correct coding is on the account, application of ... payments is accurate, incoming calls are handled and referrals to Attorney Firms for legal action are made timely when applicable. **Primary Responsibilities:** + Conduct audits on loans in bankruptcy to ensure they are current in bankruptcy status, and… more
- Northwell Health (Westbury, NY)
- …and resolves accounts that have failed coding and charging related claim edits, including departments requiring clinical/coding expertise. Responsible for validation ... of items, assuring the appropriate assignment of coding system, modifier(s) and revenue codes, by reviewing medical record documentation, facility protocol, regulatory guidance and other applicable documentation. Job Responsibility + Adheres to regulations and… 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
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …systems + Familiar with Enterprise billing options and practices surrounding claim submission + Strong communication skills + Outstanding customer service skills ... wage requirements** **.** Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13192/patient-benefit- specialist --remote/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-Syracuse_ **Posted Date**… more
- Northwell Health (Lake Success, NY)
- …editor report to analyze, research and resolve issues related to Medicare outpatient claims that generate code editor edits. + Maintains current knowledge base of ... regulatory & coding guidelines, billing processes, Ambulatory Payment Classification (APC) groups, federal, state and regulatory agency coding and reimbursement changes and coding requirements to ensure hospital procedures and services are properly ordered and… more