- Albany Medical Center (Albany, NY)
- …by the Quality Manager, including writing appeal letters and following trends in denials . They inform management of trends and needs for improvement related to ... coding quality. They will work closely with the educator on developing training sessions and materials and working with the denial's specialist for education and compliance. They optimize hospital reimbursement by auditing and monitoring inpatient and… more
- Catholic Health Services (Melville, NY)
- …as a point of contact, as assigned, for infusion-related issues, including denials , adjustments, insurance issues, and other insurance related vendors. Adheres to ... all organizational policies and procedure. Performs other duties as requested. POSITION REQUIREMENTS AND QUALIFICATIONS: Education: High School diploma. Bachelor's degree preferred. Experience: A minimum of three years' experience in healthcare reimbursement,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …to follow up on claim submissions, investigating patient accounts, resolving denials , and fielding all incoming correspondence. Answering incoming phone calls from ... patients pertaining to billing, insurance, and payments. Minimum Qualifications: High School degree or equivalent and two years clerical support in a medical billing setting. Will consider equivalent combination of education and experience. Preferred… more
- Rochester Regional Health (Rochester, NY)
- …of service and plan of care. + Performs retrospective reviews on insurance denials and assists in appeal process. + Participates in daily Huddles, providing ongoing ... communication to the Charge Nurse and Nurse Manager to address complex clinical issues, system barriers, and patient/family issues, concerns. + Works with Care Management Leadership to identify problems, recommend solutions and work toward resolution. +… more
- Mount Sinai Health System (Long Island City, NY)
- …federal and state guidelines. Presents and reviews data relative to avoidable days, denials , length of stay and other key metrics to leadership. **About Us** ... **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part… more
- Albany Medical Center (Albany, NY)
- …professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are ... highly skilled and considered experts in medical coding. Essential Duties and Responsibilities + Optimize hospital reimbursement by auditing and monitoring inpatient and outpatient records and investigating unbilled cases. + Understands the hospital… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …documentation and ensure code accuracy. + Monitor and respond to coding-related denials , rejections, and edits; assist with appeals and identify areas for process ... improvement. + Collaborate with the billing team and other departments to resolve discrepancies and optimize revenue cycle performance. + Participate in internal audits, meet coding accuracy benchmarks, and stay current with coding regulations, payer updates,… more
- Callen-Lorde Community Health Center (New York, NY)
- …and Follow-Up:Monitoring open accounts receivable, identifying and correcting claim denials , conducting phone follow-up and online claim status verifications, and ... performing specialized billing functions such as Medicaid Public Transportation program billing. + Insurance Operations:Performing insurance verifications for new patients and coverage changes, answering billing and insurance questions from patients, staff,… more
- Nuvance Health (Poughkeepsie, NY)
- …on revenue cycle, including the ability to assist in appealing payer denials . * Responds to all business office questions regarding diagnoses and procedures ... in a timely manner. * Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. * Maintains certified coding credentials in… more
- Rochester Regional Health (Rochester, NY)
- …processing of medical claims for DRUGSCAN. RESPONSIBILITIES + Process current and aged denials to improve cash collections and reduce DSO through timely follow up. + ... Contact third party payers on a timely basis to obtain claim processing status and clarification regarding un-responded or partially responded claims. + Analyze and report trends based on data analysis. + Consistently reduce AR > 90 to increase cash and lower… more