- Mount Sinai Health System (Elmhurst, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs...**Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... ideal candidate will have had some experience working with health administrative/insurance claims data and other large datasets. Prior experience with the Department… more
- Guidehouse (New York, NY)
- …of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. ... needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific...Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review… more
- City of New York (New York, NY)
- …impacted NYC communities. CHECW addresses inequity across community and healthcare systems in partnership with community, faith-based, and health care organizations. ... the Bureau of Health Equity Capacity Building, the Bureau of Equitable Health Systems and the Bureau of Finance, Administration, and Services. The division's Deputy… more
- Molina Healthcare (Buffalo, NY)
- …agencies to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate ... Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors. * Resolves and… more
- Mohawk Valley Health System (Utica, NY)
- …insurance, and medical information into the hospital's electronic health record (EHR) system . + Ensure compliance with HIPAA and other relevant privacy regulations. ... accurate charge capture and timely submission of billing information. + Address claim denials, errors, or discrepancies in collaboration with the billing department.… more
- Molina Healthcare (Buffalo, NY)
- …maintain contract, benefit or reference table information into the claim payment system and other applicable systems . + Participates in defect resolution for ... claims databases. Synchronizes data among operational and claims systems and application of business rules...housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- MetLife (Oriskany, NY)
- …office for meetings Key Responsibilities: * Effectively manage a team of STD Claim Specialists in a fast-paced environment to ensure individual and team performance ... indicators and delivering on customer commitments through quality and timely claim determinations including compliance with ERISA and other state and regulatory… more
- Cardinal Health (Albany, NY)
- … claims processing. + Manages billing queue as assigned in the appropriate system . + Manages and resolves complex insurance claims , including appeals and ... in accordance with company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with all information… more
- BronxCare Health System (Bronx, NY)
- …consistent with maintaining and furthering a positive public perception of BronxCare Health System . This includes introducing self by name and title to all patients. ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
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