- Mount Sinai Health System (New York, NY)
- …* Drive the revenue cycle processes for bundle payment operations including claims processing , payment receipt, and payment distribution in collaboration with ... the revenue cycle team. * Drive the implementation and iteration of new technologies to support day-to-day operations (eg, ZenDesk). * Develop and maintain documentation for product operations, including standard operating procedures and training materials. *… more
- Public Consulting Group (Albany, NY)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... Cost Allocation Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets A Test Leader oversees the testing process, developing test strategies and plans, guiding a team of testers, and collaborating with… more
- Rochester Regional Health (Rochester, NY)
- …Responsibilities Responsibilities will include basic knowledge of medical billing, medical claims processing and accounts receivable collections. The Medical ... collection specialist must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within Meditech and Emdeon to identify denial trends as well as be responsible for locating and monitoring overdue third party accounts… more
- SUNY Morrisville (Syracuse, NY)
- …competencies. Teach core topics including: + Medical terminology and anatomy + Insurance claims processing + Coding systems (ICD-10-CM, CPT, HCPCS) + Electronic ... Health Records (EHR) and claim submission + Compliance, HIPAA, and fraud prevention + Reimbursement methodologies and payer systems Prepare students for the AMBA CMRS certification exam, including practice tests and exam strategies. Maintain accurate records… more
- SMBC (White Plains, NY)
- …+ Pre-settlement payment affirmation and post-settlement investigations inclusive of compensation claims processing . + Investigations of failed settlements from ... detection to resolution. + Mitigation of operational risk and timely escalation. + Understand and ensure compliance with relevant regulatory requirements. + Proficiency using various industry-standard settlement platforms as well as the firm's proprietary… more
- Guardian Life (New York, NY)
- …team to deliver AI-centered solutions directed at our largest processes (eg, claims processing , customer service bots, operations automation) to grow our ... business and drive operational efficiency. AI Transformation Leads set strategy, define the product roadmap, and drive execution. They work closely with the data science team who build models, with the technology teams who integrate those models into our… more
- Northwell Health (Lake Success, NY)
- …to patient accounts for hospital and clinical facilities. Daily duties include processing claims , collecting payments, resolving denials and other problems, ... enrollment-related denials. Job Responsibility + Assists and guides the processing and managing of physician claims . +...guides the processing and managing of physician claims . + Oversees the collection of payments from physicians… more
- Tarrytown Rehabilitation & Nursing Center (Tarrytown, NY)
- …+ Billing Operations Management: + Direct and supervise the billing team in processing claims , invoices, and statements accurately and efficiently. + Monitor ... billing processes to ensure timely submission of claims and adherence to payer requirements. + Review and...guidelines + Understand how to bill, and appeal HMO claims + Strong knowledge of NYS nursing home Medicaid,… more
- Northwell Health (Lake Success, NY)
- …patient accounts for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, ... inquiries regarding an account. Job Responsibility + Assists in processing and managing patient claims . + Assists...+ Assists in processing and managing patient claims . + Assists in collecting payments from third party… more
- Northwell Health (Lake Success, NY)
- …to patient accounts for hospital and clinical facilities. Daily duties include processing claims , collecting payments, resolving problems, attending to inquiries ... an account. Job Responsibility + Processes and manages physician claims . + Collects payments from physicians for processing... claims . + Collects payments from physicians for processing . + Resolves any issues relating to the physicians… more
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