- University of Rochester (Albany, NY)
- …and timely posting of third party and patient payments, insurance denials and patient responsibilities to individual patient accounts. Researches unidentified ... payments, evaluates offsets for accuracy, balances holding accounts and creates general ledger deposits. Generates and posts refunds. **ESSENTIAL FUNCTIONS** + Balances and posts electronic file payments from Medicare, Medicaid, Blue Cross, and MVP. Balances… more
- University of Rochester (Rochester, NY)
- …Responsible for system edit reviews and follows up on insurance coding denials for resolution. **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and ... system logic to review codes created by electronic charge capture and/or assigns codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal. + Troubleshoots problems that prevent… more
- University of Rochester (Albany, NY)
- …assigned URMFG physician services. + 25% Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections received thru ... daily electronic and claims submission, etc. Research claims, identify problems, and take appropriate action to assure claim resolution. + 20% Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and… more
- University of Rochester (Rochester, NY)
- …insurance company by applying knowledge and experience of previous authorization requests, denials and approvals. On behalf of the provider and the University, ... perseveres with the process to ensure as many applications are approved as possible without provider intervention. + Determines relevant information needed, based on previous authorization request experience for submission to carrier if first or second request… more
- University of Rochester (Rochester, NY)
- …with universally recognized coding guidelines. - Reviews and resolves coding denials . Resolves problems with claims having errors related to improper coding ... and provides feedback for correction and follow-up. - Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed. - Responds to coding information requests from various sources. Communicates document improvement… more
- Mount Sinai Health System (New York, NY)
- …+ Monitors the referral of self-pay accounts to collection agency. + Reviews all denials for proper procedures and corrective measures. + Monitors and adheres to all ... third party billing regulations. Interacts with these agencies to determine the effectiveness and accuracy of claim submission/processing in order to ensure all reimbursement forms and documentation are compliant. + Implements departmental policies, goals,… more
- Trinity Health (Syracuse, NY)
- …experience desired. Experience and knowledge of working on appeals for insurance denials and identifying root cause. Knowledge of Hospital and/or Physician group ... practice revenue cycle front-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge related errors. Ability to organize and to prioritize work in a diverse, fast-paced environment while working… more
- Trinity Health (Syracuse, NY)
- …experience desired.Experience and knowledge of working on appeals for insurance denials and identifying root cause.Knowledge of Hospital and/or Physician group ... practice revenue cycle front-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge related errors.Ability to organize and to prioritize work in a diverse, fast-paced environment while working… more
- WMCHealth (Valhalla, NY)
- …services rendered or other information needed for submission to third party payers; Reviews denials of benefits from third party payers and takes action to appeal or ... secure payment on behalf of patient; Takes appropriate action to collect unpaid bills, either directly via a payment plan or through referral to a collection agency; Required Knowledge, Skills, Abilities and Attributes: Good knowledge of the various forms of… more
- Project Renewal, Inc. (Bronx, NY)
- …updates the tracking system for submitted applications, interviews, and selections or denials . Performs follow-up to any denial of housing applications submitted to ... providers. + Conducts weekly on-site housing workshops. + Maintains and participates in the weekly Partners for Permanency (PAP) case management conferences. + Performs other duties as assigned by the Shelter Director. Qualifications: + A Bachelor's degree… more