- Ellis Medicine (Schenectady, NY)
- …payer as indicated. + Analyze 277 Rejection Remittance Reports to verify all payor denials , including eligibility denials , and edit denials . + Calculate the ... usual and customary rate for any deductibles, coinsurance and / or adjustments according to the Professional and Technical reimbursement and contracts procedures and policies. + Assist the cash posting staff with any questions in regards to payor remittances… more
- Mount Sinai Health System (New York, NY)
- …ability to perform clinical/technical/service/administrative tasks: + Prioritizes Insurance Requests / Denials when received in the department as per protocol + ... Support Appeals Nurse / Manager by confirming status of denials + Tracking status of Medical Record requests for... + Tracking status of Medical Record requests for denials to insure that they are received timely +… more
- Stony Brook University (Stony Brook, NY)
- …in the resolution of pre-billing charging issues and post-payment charge related denials . **Duties of a Senior Financial Analyst Revenue Cycle Management may include ... assist in the resolution of pre-billing charging issues and post-payment charge related denials . + Assist in system configuration and maintenance. + Act to support… more
- Albany Medical Center (Albany, NY)
- …collaboratively to support all workflows related to professional fee coding/charging/ denials follow-up. Coordinates with others as needed to ensure comprehensive ... with development of related action plans. + Assist with Denials Management to determine root causes and provide feedback...and provide feedback and training to providers/staff to reduce denials . + Acts as a liaison for external audits… more
- Stony Brook University (Stony Brook, NY)
- …on all other payers. + Active participation with the physician and payer to prevent denials . Reviews cases for potential change in level of care with the CM and ... + Reviews cases daily from admission through discharge to prevent denials .This includes patient and family contacts, insurance authorizations, tests, procedures,… more
- BronxCare Health System (Bronx, NY)
- Overview Assists in the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care ... and (d) Patient and Customer Service. - Reviews and denials notification letters along with the medical records and...improve outcomes. - Maintains an excel log related to denials /appeals activities in order to monitor successful appeals. -… more
- Trinity Health (Syracuse, NY)
- …partnership with supervisor to identify and address gap areas leading to auth denials within service line. * Confirm appropriate insurance verification as part of ... authorization submission in a timely manner. * Troubleshoot authorization denials in efforts to overturn payer behavior related ...denials in efforts to overturn payer behavior related denials . This description is intended to only provide basic… more
- Molina Healthcare (Buffalo, NY)
- …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more
- Molina Healthcare (Syracuse, NY)
- …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more
- Intermountain Health (Albany, NY)
- …with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types. + Coordinates all aspects of ... with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types. 12. Execute large enrollment… more