- Humana (Albany, NY)
- …the same day. + Process provider and member letters (Letter of Agreements, Approvals, Denials etc.) + Mail letters to members. + Assist the team with various ... clerical/administrative tasks as necessary. + Participate in special projects as assigned by your Supervisor or Manager. **Use your skills to make an impact** Additional Job Description **Required Qualifications** + 1 or more years of Administrative support… more
- BronxCare Health System (Bronx, NY)
- …all insurance pre-authorization requirements and increase revenue by reducing payment denials for unauthorized services. - Maintains accurate and complete reporting ... deliverables showing productivity and outstanding items to be addressed, conducts follow up on outstanding cases as needed. - Act as a liaison with clinics, physicians, patients, staff, insurers and ancillary departments and maintain a positive relationship… more
- Charles Evans Center (Bethpage, NY)
- …Manage day-to-day coordination with outsourced billing vendor (Solutions4) + Resolve claim denials and outstanding A/R to support timely collections + Review and ... update billing policies and procedures for efficiency and compliance + Ensure correct insurance is collected and verified at time of visit + Lead regular meetings with front desk supervisor on billing issues + Monitor provider credentialing with Medicaid,… more
- Mount Sinai Health System (New York, NY)
- …(eg, patient access, coding, clinical documentation integrity, billing, collections, denials management). 2. Establish a governance framework for vendor selection, ... onboarding, performance monitoring, renewal, and termination. 3. Ensure all vendors comply with HIPAA, data security standards, and Mount Sinai policies. **Performance Management** 1. Define and manage KPIs, SLAs, and contractual performance metrics for all… more
- Mount Sinai Health System (New York, NY)
- …System's goals to reduce cost-to-collect, accelerate cash flow, decrease denials , and improve patient engagement through technology-enabled transformation. The ... Director will partner cross-functionally with internal RCM leaders, IT, Finance, Legal, and external partners to ensure vendor-delivered services meet or exceed contractual obligations and support enterprise revenue cycle transformation initiatives. The… more
- Tarrytown Rehabilitation & Nursing Center (Houghton, NY)
- …admission. Maintain statistics indicating customer flow, pending and lost inquiries, denials , hospital discharges and marketing activity and submit to regional ... coordinator as requested. + Complete admissions agreements for new/readmit patients within 24 hours of admission following Admission + Collect appropriate insurance cards + Works with the Administrator and facility staff to ensure consistent, effective… more
- Garnet Health (Middletown, NY)
- …of the organization, implementing best practices, decrease registration related denials , and maintaining high standards of operational excellence, compliance, and ... patient satisfaction. At Garnet Health, we are committed to supporting your career growth and professional potential. We are responsive, attentive and dedicated to the success and satisfaction of our team members. Here, you'll find resources that will help you… more
- Intermountain Health (Albany, NY)
- …+ Oversees the day-to-day revenue cycle functions including claims processing, denials , payments, customer service, and follow up on accounts. Oversees adjustments, ... insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing. Collaborates with department leadership team to evaluate service needs and volumes and adjust staffing levels accordingly. Assigns… more
- Northwell Health (Lake Success, NY)
- …insurance explanation of benefits; responds to insurance payer edits, rejections, and denials ; identifies cause of rejections and chooses most appropriate methods to ... resolve them. 6.Creates detailed, well-versed typed letters to insurances and patients. 7.Creates effective appeal packages to submit to insurances. 8.Communicates in an effective professional manner when speaking with insurances and patients. 9.Maintains… more
- New York State Civil Service (Islandia, NY)
- …ensuring the claimants' rights are fully protected.* Conducts hearings relating to denials of authorization for medical treatments; rules on legal objections to ... medical bills raised by carriers.* Drafts informal resolutions.* Reviews and finalizes informal resolutions and Orders of the Chair.* Performs related duties as required.The judge will cover in-district with a possibility out-of-district coverage. Minimum… more