- 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
- CenterWell (Albany, NY)
- …part of our caring community and help us put health first** The ** Denials Management Specialist** is responsible to respond to, monitor and analyze all governmental ... not limited to ADR's, CERTS, RAC's, ZPIC's, SMRC's, and all other revenue-driven denials and requests. Guides and coordinates with the branch staff in developing… 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
- Cognizant (Albany, NY)
- …will make an impact by performing root cause analysis physician payer denials , identify procedures impacted by National Correct Coding Initiative Edits (NCCI), work ... identification, collaboration, and implementation of process initiatives to reduce denials . You will be a valued member of the...**In this role, you will:** + **Resolution of Claim Denials ** : Perform advanced work related to resolving physician… more
- Rochester Regional Health (Rochester, NY)
- …(Full-Time)Schedule: Monday - Friday, Days SUMMARY: Review all inpatient medical necessity denials for the health system based on InterQual and/or CMS guidelines. ... the workflow with the standard UM sources for potential inpatient medical necessity denials . Assists and guides the Center Business Office with any billing issues… more
- Arnot Health (Elmira, NY)
- …Arnot Health departments and third party payers to discourage preventable denials DUTIES AND RESPONSIBILITIES: 1. Retrospectively determines medical necessity and ... accordance with InterQual Criteria to assist with appeal of denials 2. Maintains a working knowledge of the requirements...of the requirements of 3rd party payers 3. Reviews denials from third party payers obtained from correspondence and… more