• Medical Billing Specialist

    ConvaTec (Massapequa, NY)
    …and guidelines, including authorizations and limitations. + Investigates insurance claim denials , exceptions, or exclusions. Takes necessary action to resolve claim ... and payer issues in an effort to recover proper reimbursement. + Provides customer service relating to all billing inquiries and complaints. Able to explain insurance processes, benefits, and exclusions. Follows HIPAA guidelines in handling customer… more
    ConvaTec (08/21/25)
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  • Certified Coder (Risk Adjustment/Outpatient…

    Molina Healthcare (Syracuse, NY)
    …reported accurately to maintain compliance and to minimize risk and denials . **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis ... codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly + Documents results/findings from chart reviews and provides feedback to management, providers, and office staff… more
    Molina Healthcare (08/21/25)
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  • Director, Physician Leadership - Medical Directors…

    Humana (Albany, NY)
    …the impactable drivers of prior authorization and look at appeals rate with denials and overturns. Deliver the upmost consistent medical director decision making. + ... _Internal Operations and Technology_ _:_ Support efforts to improve the efficiency of health plan operations (utilization management and provider clinical contracting) to reduce friction for members, providers, and associates. + _External Partnerships_ _:_… more
    Humana (08/21/25)
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  • A/R Representative II - School Insurance Collector

    Northwell Health (Garden City, NY)
    …secure payments and provide resolution of assigned accounts. + Appealing incorrect denials and incorrect payments. + Responding to carrier verification requests in a ... timely manner. + Tracking and reporting all account information. + Adheres to all HIPAA guidelines and regulation. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be… more
    Northwell Health (08/21/25)
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  • Admitting Clerk

    WMCHealth (Suffern, NY)
    …to the hospital to ensure patient has coverage, services provided are covered, denials and appeals minimized and payments are expedited. + Reviews registration data ... for accuracy and satisfying delinquent data for a quality assurance. + Handles the printing and distribution of Admission/Registration forms, face sheets, labels and NY State and Federally mandated forms to patients or nursing unit as appropriate. + Obtains… more
    WMCHealth (08/21/25)
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  • Billing Office Associate

    TEKsystems (Rochester, NY)
    …Assistant (SBO), Business Office Representative (SBO), Epic, Hospital billing, Claims and denials Additional Skills & Qualifications: Preferably a 2 or 4 year degree ... Retail or customer service experience Office experience and billing experience preferred Experience with Excel Skills Customer service, Support, Data entry, Microsoft office, Microsoft office suite, Windows 10, Customer support, Accounts payable, Windows If… more
    TEKsystems (08/21/25)
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  • Assistant VP Clinical Services

    WellLife Network (Smithtown, NY)
    …with the billing and finance teams to identify and resolve billing issues, denials , and payment delays. + Monitor staff documentation practices to ensure compliance ... with Medicaid, Medicare, and private insurance billing requirements. + Implement productivity benchmarks and support clinical teams to meet or exceed targets while maintaining quality standards. + Community Outreach and Referral Development: + Develop and… more
    WellLife Network (08/20/25)
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  • Insurance Benefit Coordinator

    Planned Parenthood of Central and Western NY (Buffalo, NY)
    …cards, prescriptions, etc.) + Processes all FPBP communications received + Acceptance/ Denials : enters all necessary insurance information in NextGen and notify the ... Billing Department of billable Date of Service (DOS), contact patient and document in NextGen + Renewals: contacts patients, documents in NextGen, and checks for past DOS for billing and notify the Billing Department as necessary + Discontinuation: completes… more
    Planned Parenthood of Central and Western NY (08/20/25)
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  • Physician Support Coord IV

    University of Rochester (Rochester, NY)
    …needed. + Orders supplies and equipment for complex burn cases. + Works with denials for surgeries to obtain documentation to for authorization, manages a high level ... of faxed referrals, uses independent judgement when scheduling complex surgical procedures at multiple locations for four surgeons, manages the outlook calendar and coordinates surgeries with collaborating surgeons in various divisions. + Sets up Quality… more
    University of Rochester (08/20/25)
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  • Office Manager-Bilingual-FT

    Outreach Development Corporation (Brentwood, NY)
    …daily basis and swiping card using Medicaid machine. Reporting any benefit denials to appropriate staff. + Maintaining efficient and understandable filing system for ... administrative and clinical records; updating filing system on a periodic basis. Ensuring charts are well organized. + Maintaining a supply of forms and pre-arranged intake folders. Disassembling charts of discharged clients and files appropriately. +… more
    Outreach Development Corporation (08/20/25)
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