- Molina Healthcare (Syracuse, NY)
- …chart reviews and abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… more
- Veterans Affairs, Veterans Health Administration (Castle Point, NY)
- …of medically pertinent information (medical records) and ensuring that proper billing is pre-authorized. The AMSA maintains appointment schedules for Community Care, ... the Medicare Rate. This position includes payment reconciling for Community Care medical claims submitted for payment due to outsourcing of treatment for VA Hudson… more
- Walmart (Plattsburgh, NY)
- …aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates ... compliance execution by others. Ensures appropriate operational execution of billing procedures, HIPAA compliance adherence, and standard operating procedures (SOP).… more
- City of New York (New York, NY)
- …Processing Unit within the Finance Office /Division of Accounts Receivable & Billing (DARB), along with the Central Processing Unit, processes over 4,000 payments ... window where payments are received from various program areas such as IREA Claims and Collections, Bureau of Fraud Investigation and the Office of Liens and… more
- City of New York (New York, NY)
- …Accelerator, FMS, and CARES within the prescribed period. - Reconcile monthly claims and maintain a claim-control register to ensure the accuracy of reimbursement. ... and the correction of errors in FMS vouchers by investigating payment and billing discrepancies and responding to written inquiries. - Maintain liaison with DHS… more
- Arnot Health (Elmira, NY)
- …in coordination with other department staff 5. Relays denial information to appropriate billing clerks and management. 6. Follow up on denial claims using ... reports to ensure completion of appeal with other department staff 7. Interacts with physicians and other Arnot Health departments in matters of auth/denial review decisions. 8. Maintains a working relationship with Physician Advisor regarding physician issues… more
- KPH Healthcare Services, Inc. (Marcy, NY)
- …the medication orders for various facilities. Ensuring that all Third-Party claims are billed properly. **Responsibilities** **Job Duties:** + Provides customer ... + Maintaining accurate information for patients and facilities + Responsible for billing and crediting each facility appropriately and accurately each month +… more
- Saratoga Hospital (Saratoga Springs, NY)
- …What You'll Do + Collect quality data using various methods of data sourcing-EMR, claims , provider / patient outreach. + Manage daily work using multiple systems and ... abstraction via EMR system/s, knowledge of medical terminology, quality measures, medical billing /coding is a must. + Tech-savvy in managing the technical side of… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …data needed to process accurate monthly payments. Investigate and resolve discrepancies between billing and pass thru items. + Post ACH and wire activity to the ... Balance and Subrogation Recoveries ensuring all recoveries received are processed by claims department and then appropriately accounted for and returned to clients.… more
- Apicha Community Health Center (Jackson Heights, NY)
- …dental insurance changes to patient - fee schedule from PPO/HMO dental plans. + Assist billing department - verify EOBs and claims . + Training - keep an updated ... list of the dental insurance contact information. Qualifications: + High School Diploma or GED equivalent with 2 years of working experience required. Some college education with 1 year of working experience preferred. + Experience in hospital or community… more