- Mount Sinai Health System (New York, NY)
- …cash collections and aged Accounts Receivable + Utilize revenue cycle and EHR systems . + Organizes routine meetings with health system business leaders and ... workflows align with revenue cycle best practices to reduce claim denials, improve cash collections and enhance clean ...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mohawk Valley Health System (Utica, NY)
- …the enterprise. Core Job Responsibilities + Investigates, tracks, and resolves drug-related claim denials and billing exceptions across multiple sites of care. + ... coordination with IT and revenue integrity. + Ensures EMR system mapping for new drug entries, billing units, and...and payer requirements. + Utilizes pharmacy dispensing and billing systems to re-bill or correct charges. + Participates in… more
- Guthrie (Binghamton, NY)
- …collaborates with multiple leaders at various levels throughout the Guthrie Health System , including directors and vice presidents, for the purpose of supporting and ... others to ensure consistent and accurate patient status determinations for appropriate claim submission. 3. Participate in UR Committee and UM activities. 4. Assist… more
- Mount Sinai Health System (New York, NY)
- …and accurate integration of data from various external sources, including wholesalers, claims systems , and financial platforms. + Develop complex SQL logic ... and reconcile data from Epic, QS1, Oracle Cloud, 340B claims data, and wholesaler purchase feeds. + Support 340B...System is one of the largest academic medical systems in the New York metro area, with more… more
- New York State Civil Service (Albany, NY)
- …and operations of multiple systems in the division including: the eMedNY claims processing system , enterprise data warehouse and eligibility and enrollment ... data warehouses, eligibility/enrollment systems , and claims processing systems . Demonstrated ability to oversee IT governance, system compliance, and… more
- Mount Sinai Health System (New York, NY)
- …+ Collaborate with the Revenue Cycle team to integrate contract terms into billing, claims , and payment systems . + Provide support and guidance to internal teams ... :** 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… more
- Rochester Regional Health (Rochester, NY)
- …for ways to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately handle claim ... programs and payer policy changes. + Acquire and maintain knowledge of system terminology, claim /denial/coverage concepts and terms, and relevant HIPAA privacy… more
- Highmark Health (Albany, NY)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… 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 ... coding edits_ + In-depth knowledge of the coding process, coding systems software, workflow management, and excellent navigation of electronic medical records… more