- WMCHealth (Hawthorne, NY)
- Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office Union: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30011) Internal Applicant link Job Details: Job Summary: The Denials Specialist is responsible for providing analysis and reporting… more
- Saratoga Hospital (Saratoga Springs, NY)
- Denials Assistant - Patient Financial Services Location: Saratoga Hospital, 59D Myrtle Street Park, Saratoga Springs, NY 12866 Employment Type: Full Time ... people. About the Role We're looking for a dedicated Denials Assistant to join our team and help us...patient outcomes in a fast-paced healthcare env ironment. The Denials Assistant provides clerical support to the various roles… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... peace of mind. You'll collaborate with payers, providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join a team where your… more
- Syracuse Community Health Center (Syracuse, NY)
- POSITION SUMMARY: The denials management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health ... healthcare billing, coding, and insurance policies to identify root causes of denials , appeal incorrect decisions, and implement strategies to minimize future … more
- Kaleida Health (Buffalo, NY)
- **Director Clinical and DRG Denials ** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue Cycle department.… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement for ... improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY: Denials ManagementThe C & D specialist is responsible for reviewing accounts which have been denied or underpaid by third party payers and to resolve the ... issues resulting in denial/underpayment and to formally appeal. The specialist will conduct comprehensive reviews of clinical documentation to determine if an appeal is warranted. Should an appeal be necessary, the specialist will write compelling and factual… more
- Northwell Health (Melville, NY)
- …Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge ... gaps. Job Responsibility Serves as liaison between the patient and facility/physician and the third party payer. Prepares and defends level of care and medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case… more
- Mount Sinai Health System (New York, NY)
- …days in Accounts Receivable, increasing cash collections, reducing bad debt decreasing denials and eliminating write offs due to process issues. + Ensures workflows ... align with revenue cycle best practices to reduce claim denials , improve cash collections and enhance clean claim rates. + Develop and implement policies and… more
- OLV Human Services (Lackawanna, NY)
- …the approval or denial of the predetermination Billing Review: * Post payments and denials * Utilizes denial reports to assess root causes of dental claim denials ... and shares findings with all department stakeholders * Monitors specific frequency denials and keeps dental leadership informed * Serves as a Liaison between… more