- University of Rochester (Albany, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... productivity, and provider relationships across all departments. Additionally, the Assistant Coding Manager is responsible for ensuring proper training and supervision of assigned staff members, while implementing and upholding URMFG best practice standards.… more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... STATUS: LOCATION: DEPARTMENT: SCHEDULE: Key Responsibilities: + Review and accurately process claim edits in a system work queue. Accurately handle claim … more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable . Resolve edits to ensure accurate claims are sent to primary and secondary insurances . Research and resolve ... to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... ICD (coding and CCI edits). + Anesthesiology Experience Preferred + Electronic claims processing preferred. **Responsibilities** + Follows up on submitted claims… more
- Ellis Medicine (Schenectady, NY)
- …Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider ... and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to...for data entry errors and make corrections. Notify the supervisor when a system error occurs. Log and forward… more
- University of Rochester (Brighton, NY)
- …May research information to assist legal counsel + Produces reports, audits claim , evaluates eligibility and entitlements and considers multiple leave options to ... payments. + Exercises discretion and independent judgement when identifying claim discrepancies and recommends resolution processes. Directs vendors related to… more
- OLV Human Services (Lackawanna, NY)
- …and programs within the agency. Essential Job Duties: + Review, scrub, and submit claims in a timely fashion + Address claim rejections, denials, and ... and payments + Any other duty as assigned by your supervisor Skills: + Proficiency in billing claims and using billing software + Proficiency with Microsoft 365… more
- Helen Keller National Center for Deaf Blind Youths… (Sands Point, NY)
- …standards. * Review service documentation to ensure accuracy and completeness prior to claim submission. * Track claims , address denials or rejections, and ... responsible for the accurate preparation, submission, and follow-up of claims for services funded by the Office for People...as may be assigned or requested by his/her immediate supervisor and/or the Director of the Department EDUCATION and/or… more
- Rochester Regional Health (Rochester, NY)
- …Billing and Reimbursement Specialist is responsible for timely processing of medical claims for DRUGSCAN. RESPONSIBILITIES + Process current and aged denials to ... up. + Contact third party payers on a timely basis to obtain claim processing status and clarification regarding un-responded or partially responded claims .… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more