- Molina Healthcare (Yonkers, NY)
- … claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy ... tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …+ Record deposits daily and create cash accounts receivable records in claims billing software, ensuring that transactions are processed with 100% ... accuracy. + Process client refund checks using claims billing software. + Send clients fund requests daily. + Collaborate with the Posting Department in… more
- Cardinal Health (Albany, NY)
- …appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing + ... Following up on unpaid claims within standard billing cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary +… more
- Ellis Medicine (Niskayuna, NY)
- …the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing , establish and maintain a close working relationship with ... and charge reconciliation process for the assigned practice(s), managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete,… more
- Ellis Medicine (Schenectady, NY)
- …the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing , establish and maintain a close working relationship with ... charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete,… more
- Highmark Health (Albany, NY)
- …coupled with a general understanding of data flows from various corporate systems (eg, claims , billing , lab, and Rx), to solve complex issues and problems. A ... dental and vision claims , provider data, financial data (ie, revenue, premium, billing , pricing) and a variety of external normative and benchmark data. + Lead… more
- Rochester Regional Health (Rochester, NY)
- …A Medical Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or ... trends in denials and taking corrective actions. RESPONSIBILITIES: + Medical Billing & Claims Management: Submit and track insurance claims , resolve denials… more
- Stony Brook University (East Setauket, NY)
- …position will support day-to-day business functions including but not limited to: billing , claims analysis appeals, follow-up, financial assistance and customer ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...issues. + Process appeals. + Liaise with third party billing and collection agencies. + Identify issues and patterns… more
- Ellis Medicine (Schenectady, NY)
- …to Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing , establish and maintain a close working relationship with ... of all processes necessary to provide timely, accurate, and complete posting and billing of patient demographic and clinical coding data as well as managing and… more
- Robert Half Accountemps (Rochester, NY)
- …relevant regulations. Requirements Key Responsibilities: + Review, verify, and process medical billing data for insurance claims and patient invoices, ensuring ... Description Job Summary: The Medical Billing Specialist is responsible for accurately processing and...practices, clinics, or hospitals. This role ensures that insurance claims are correctly coded, submitted, and followed up to… more