- Catholic Health Services (Bethpage, NY)
- …responding to requests for reviews in a timely fashion to avoid denials . Review records and collaborate with the interdisciplinary team to obtain information ... the patients, transmitting information to third party payors to avoid denials . Participate in interdisciplinary rounding and identify areas for improvement.… 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 ... claims/insurance companies and review to increase revenue and prevent unnecessary denials . + Assist the supervisor in scheduling, timesheet, leave requests,… more
- Mount Sinai Health System (New York, NY)
- …and captured. 4. Ensures that documentation supports charges to prevent denials /underpayments and to ensure adherence to compliance standards. 5. Follow-up on ... updates. 12. Responsible for resolving any coding related errors, edits and denials that are identified by the physician practices or practice billing system.… more
- Mount Sinai Health System (New York, NY)
- …in accordance with policies and procedures. + May run and work missing charges, edits, denials list and process appeals. Posts denials in IDX on a timely basis. ... + Posts all payments in IDX using approved methodologies. + May perform specialty coding for services and medical office visits and review physician coding and provide updated to physicians and staff. + Works TES, BAR and eCommerce edits for the division,… more
- Molina Healthcare (Yonkers, NY)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... for further review. + Research issues utilizing systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or… more
- Ellis Medicine (Schenectady, NY)
- …working relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the maintenance of the practice's charges and coding, in ... cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department. + Responsible for participation in ongoing education relevant to practice specialty, assists in training for new employees and coverage. + Works… more
- Molina Healthcare (Rochester, NY)
- …needed to properly evaluate the request. + Accurately enters on-line approvals or denials of requests. Authorized to make and carry out simple prior authorization ... requests within established policies and procedures. + Participates in the development /administration of programs designed to enhance the utilization of targeted drugs and the identification of cost saving pharmacy practices. + Identifies and reports… more
- Arnot Health (Elmira, NY)
- …a subject matter expert on coding and billing regulations, you'll help resolve denials , optimize processes, and serve as a trusted resource for staff across ... departments. Your Schedule: + Full-time, salaried, exempt role + Monday through Friday + Day Shift + Remote What You'll Do: + Review new procedures to determine coverage and reimbursement opportunities + Analyze reimbursement rates and reconcile payments using… more
- SUNY Upstate Medical University (Syracuse, NY)
- …to follow up on claim submissions, investigating patient accounts, resolving denials , and fielding all incoming correspondence. Candidate will answer incoming phone ... calls from patients pertaining to billing, insurance, and payments. Minimum Qualifications: 2-3 years Medical Billing Experience- Radiology preferred Follow -up skills Insurance knowledge Payment Experience EPIC Knowledge is a plus Team player as well as the… more
- Intermountain Health (Albany, NY)
- …CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding review, audit findings, and appeal ... strategies. + Develops and implements training plans for all internal stakeholders including coders at all levels, providers, clinical staff, compliance and the CDI team. + Audits clinical documentation and coding for complex internal and external coding… more
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