- 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
- Rochester Regional Health (Rochester, NY)
- …accurate claims are sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly and accurately in order to ... claim adjustments and coverage changes as needed. + Review and process claim denials according to established processes. Research and resolve denial issues via the… more
- Evergreen Health (Buffalo, NY)
- …processing insurance claims, which includes submitting claims, posting payments, reviewing denials , and working with insurance companies to resolve payment issues ... all codes are being reimbursed according to payer contracts. + Reviews claim denials and contacts insurance companies for resolution, as needed. + Reports denial… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Prepare and submit hospital claims. Review denials . Investigate coding issue. Audits. + Follow-up on rejected or denied claims, improper ... and insurance companies and review to increase revenue and prevent unnecessary denials . + Assist the supervisor in scheduling, timesheet, leave requests, performance… more
- WMCHealth (Valhalla, NY)
- …related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. + Interprets and applies ... necessary information. + Compiles and updates the appeal log detailing denials , hospital's reply, and follow-up responses. + Provides information and responds… more
- Mount Sinai Health System (New York, NY)
- …issues as they arise. + Identify revenue enhancement opportunities to prevent denials /underpayments. + Supervise and train new employees in all aspects of Charge ... + Processes and distributes reports. + Resolves problems that cause payer denials . **Qualifications** + **Associates degree, Bachelors preferred, or a combination of… more
- Mount Sinai Health System (New York, NY)
- …to ensure timely charge entry. 6. May run and work missing charges, edits, denials list and process appeals. Posts denials in EPIC/IDX on a timely ... basis. 7. Posts all payments in IDX using approved methodologies. 8. May perform specialty coding for services and medical office visits and review physician coding and provide updated to physicians and staff. 9. Works TES, BAR and eCommerce edits for the… more
- Cardinal Health (Albany, NY)
- …products leverage data analysis and workflow automation to prevent claim denials , streamline enrollment in patient assistance programs, and optimize hospital-managed ... to medications. They also help healthcare systems minimize claim rejections and denials , navigate patient assistance programs, and reduce the cost of providing care… more