- Albany Medical Center (Albany, NY)
- …to optimize pharmacy charging workflows and to decrease medication-related claim denials due to pharmaceutical charge errors. They will participate in audits, ... as requested, and will be responsible for maintaining relevant documentation and records. They will remain current with important billing and revenue related regulations and compliance. They will oversee medications charge structures that support billing… more
- University of Rochester (Rochester, NY)
- …managing the submission of any supplemental information that is requested. + Review all denials for PA to determine the reason the request was denied and prepares a ... response to the payer with necessary additional information. + If the denial management needs to involve other clinic staff or providers, the required individuals will be engaged and a summary of all actions taken to date along with supporting documentation… more
- City of New York (New York, NY)
- …from the Contract Monitoring unit, summarizing the justifications of approvals and denials , and data collected to process provider appeals for individual and ... aggregate performance-based credit or payment in a timely manner. - Communicate with vendors and providers to resolve outstanding budget and invoice issues; reviews and takes the appropriate action for provider appeals related to performance-based payment… more
- City of New York (New York, NY)
- …Measure timeliness and adequacy of notices. Review accuracy of case denials and/or closings. - Observe on-site application and recertification interviews at ... FIA SNAP locations citv-wide to measure quality of service and accuracy of action(s) taken, professional demeanor of interviewer, correctness of information relayed during customer interaction and determine whether appropriate action was taken. - Review case… more
- Sodus Rehab & Nursing Center (Cortlandt, NY)
- …admission. Maintain statistics indicating customer flow, pending and lost inquiries, denials , hospital discharges and marketing activity and submit to regional ... coordinator as requested. + Works with the Administrator and facility staff to ensure consistent, effective admissions, discharge and transfer meetings are conducted for all residents. We are an Equal Opportunity Employer -M/F/D/V ACKNOWLEDGEMENT Please note… more
- The Wesley Community (Saratoga Springs, NY)
- …aging reports for outstanding claims. Respond to and resolve insurance claims denials , rejections, and underpayments in a timely manner. Ensure prompt follow-up and ... appeal submissions when necessary to minimize delays in reimbursement. + Process Private Pay statements and promptly follow up on delinquent balances. + Communicate effectively with insurance representatives, residents, families and team members to resolve… more
- University of Rochester (Rochester, NY)
- …accounts sent to the collection agency, posting manual insurance payments, posting denials , credit card payments and authorization, and processing patient refunds to ... ensure coverage during staff absences, as needed. + Recommends, develops and implements policies and procedures. + Reviews and updates existing policy and procedure manual. Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + Associate's degree and 3… more
- City of New York (New York, NY)
- …Assurance and/or Contract Monitoring unit, summarizing the justifications of approvals and denials , and data collected to process provider appeals for individual and ... aggregate performance-based credit or payment in a timely manner. - Communicate with vendors and providers to resolve outstanding budget and invoice issues; reviews and takes the appropriate action for provider appeals related to performance-based payment… more
- Helio Health Inc. (Utica, NY)
- …not done so. + Consistent follow up with all insurance companies to work claim denials . + Prepares weekly and monthly reports of Medicaid billing for the Manager of ... Revenue Cycle Management and Medical Records. + Maintain an orderly flow of patients. Ensure patients are directed to the appropriate area after they have checked in. + Initiate cash receipt and collect cash, check, and credit card payments for all patients. +… more
- Stony Brook University (East Setauket, NY)
- …and reconciliation plans related to: charges, adjustments, expected reimbursement and denials ; accelerated and unposted cash. + Document and validate business ... processes and business systems configuration, including: Patient Billing, Claims Scrubber, Contract Management and Work Listing Software. + Interpret billing, coding and payment regulations, third party contracts. **Qualifications:** **Required:** + Bachelor's… more