- Saratoga Hospital (Saratoga Springs, NY)
- HIS Denials Specialist (Inpatient) Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: 8a-4p ... About the Role We're looking for a dedicated HIS Denials Specialist to join our team and...This position provides a vital link between inpatient coding, clinical documentation improvement, Patient Access (PA) and Patient Financial… more
- Datavant (Albany, NY)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... recognized medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed… more
- Rochester Regional Health (Rochester, NY)
- …resolve the issues resulting in denial/underpayment and to formally appeal. The specialist will conduct comprehensive reviews of clinical documentation to ... SUMMARY The C & D specialist is responsible for reviewing accounts which have...claims processing and accounts receivable collections. The Medical collection specialist must have the Ability to learn and understand… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... and collaborates with Appeals Management Department in managing retrospective denials . **Qualifications** + Associates degree or equivalent combination of experience… more
- Trinity Health (Syracuse, NY)
- …the clinical utilization reviews with the facilitiesPer Diem- Insurance Specialist to assist with authorizations for Substance abuse and Mental Health Service ... **Employment Type:** Full time **Shift:** Day Shift **Description:** + **Insurance Specialist - St. Josephs Health Syracuse NY** **Position Summary:** The Insurance … more
- Trinity Health (Syracuse, NY)
- …communities. Vision: .To be world-renowned for passionate patient care and outstanding clinical outcomes. Core Values: .In the spirit of good _Stewardship,_ we heal ... health information. Works collaboratively with the medical staff and other clinical services staff. This role focuses on monitoring expirations of referrals,… more
- Highland Hospital (Rochester, NY)
- **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and perform quality control...for correct level of care, inquires on prior auth denials and works with the Provider's office to resolve,… more
- Guidehouse (New York, NY)
- …to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials . **This position is 100% remote** .Daily duties for this position include: + ... edits + Other claim level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10,… more
- Garnet Health (Middletown, NY)
- …and rural life, we invite to make your career home with us as a CLinical Documnetaion Specialist on our CDI team at/in Garnet Health Medical Center. ... Coding & Clinical Documentation Improvement and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the… more
- Helio Health Inc. (Utica, NY)
- …health disorders, and other behavioral healthcare issues. The Patient Access Specialist (PAS)meets with patients entering our programs to collect necessary data ... services. The PAS also processes medical records and enters clinical data into our HIT system necessary to for...follow up with all insurance companies to work claim denials . + Prepares weekly and monthly reports of Medicaid… more