- Mohawk Valley Health System (Utica, NY)
- …with diagnostic and procedural coding + Respond to Insurance, compliance and RAC denials + Review and assist in the maintenance of coding related policies and ... procedures + Perform other duties as required. Education/Experience Requirements Required: + AS in Health Information Management , a related degree or equivalent experience + Knowledge of EMR, Coding Software, and Microsoft Office + Knowledge/understanding of… more
- Stony Brook University (Commack, NY)
- …Such as, but are not limited to, the following: Claim denials ; Authorization issues; Provider participation inquiries; Transferring of member panel inquiries; ... and Provider location inquiries. As needed, direct questions and escalations to the Director of Enrollment. + For non-Clinical Practice provider groups, review, analyze, and report on various data sets deemed necessary by the department. Such as, but not… more
- SUNY Upstate Medical University (Syracuse, NY)
- …queues and claim edit errors, Assists with audits & analysis of denials . Assists with development of training materials. Appropriately relays issues identified as ... needing higher level of intervention. Acts as liaison between the Emergency Department & Registration when problems/issues arise. Provide direction and leadership to subordinate staff assigned to same shift to ensure smooth and efficient patient flow. Liaison… more
- Highland Hospital (Rochester, NY)
- …authorization is on file for correct level of care, inquires on prior auth denials and works with the Provider's office to resolve, requests estimated cost and ... collects deposits for non-covered services, ensures appropriate medical justification is documented for out-of-network payers, refers our self-pay patients to Financial Case Management (FCM) for Medicaid assessment or Financial Assistance, reviews and… more
- Guthrie (Binghamton, NY)
- …to coding, medical records/documentation, precertification, reimbursement and claim denials /appeals. Assesses and coordinates discharge planning needs with ... healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to federally mandated and third party payer utilization management rules and regulations The pay range for this position… more
- St. Mary's Healthcare (Amsterdam, NY)
- …monitor coder productivity to optimize revenue cycle efficiency and minimize avoidable denials . + Identify areas for improvement in HIM processes and implement ... strategies to enhance efficiency and accuracy. + Analyze health information to identify trends, patterns, and areas for improvement in patient care and healthcare operations. + Implements measures to maintain confidentiality of health information and to ensure… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …up payment arrangements as appropriate * Provide follow up when insurance denials are received and provide required documentation or information requested by ... insurers to facilitate payment * Develop thorough knowledge of all medications / procedures performed and payer authorization requirements for each * Understand insurance requirements for prior authorization / authorization. and serve as primary resource to… more
- Glens Falls Hospital (Glens Falls, NY)
- …by taking ownership of administrative tasks such as medical billing and resolving edit and denials . In this position, you will also play a key role in the timely ... accounts receivable follow up and collections. Some highlights about this opportunity include: * Full time role with 7:00 AM - 3:00 PM schedule * Working in a comfortable and climate-controlled office setting * Great opportunity for advancement for those with… more
- Glens Falls Hospital (Glens Falls, NY)
- …up payment arrangements as appropriate . Provide follow up when insurance denials are received and provide required documentation or information requested by ... insurers to facilitate payment . Develop thorough knowledge of all medications / procedures performed and payer authorization requirements for each . Understand insurance requirements for prior authorization / authorization. and serve as primary resource to… more
- Tarrytown Rehabilitation & Nursing Center (Tarrytown, NY)
- …Medicare and Medicaid + Reviewing claims for accuracy + Appealing and correcting denials + Posting cash receipts + Reviewing ledgers + Other responsibilities that ... may arise. Ideal Candidate + Already experienced in the field, with strong Medicare and HMO billing knowledge. + Experience with at least 2 years of PCC (Point Click Care) billing experience Qualifications + Effective communication abilities. + Quick learner.… more