- WMCHealth (Warwick, 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. +… more
- Saratoga Hospital (Saratoga Springs, NY)
- Denials Assistant - Patient Financial Services Location: Saratoga Hospital, 59D Myrtle Street Park, Saratoga Springs, NY 12866 Employment Type: Full Time ... people. About the Role We're looking for a dedicated Denials Assistant to join our team and help us...entering data into the EMR system, assisting in compiling appeals and reconsiderations. + Collaborate and communicate effectively with… more
- Mount Sinai Health System (New York, NY)
- …data entry of codes. + Posts all payments in IDX. Runs and works missing charges, edits, denials list and processes appeals . Posts denials in IDX on a timely ... financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations. + Develop and manages fee… more
- Stony Brook University (Stony Brook, NY)
- …and facilities throughout the hospital stay. + Assist with coverage for UR, Appeals and denials + Actively involved in performance improvement activities ... 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… more
- Amgen (New York, NY)
- …supporting the entire reimbursement journey through payer prior authorization to appeals / denials requirements and forms + Review patient-specific information in ... cases where the site has specifically requested assistance resolving any issues or coverage challenges + Educate and update healthcare providers (HCPs) on key private and public payer coverage and changes that impact patient product access + Coordinate… more
- FlexStaff (Chappaqua, NY)
- …experience, specifically in anesthesia or similar specialties - Experience with claim appeals and denials - Strong organizational skills and meticulous attention ... years of experience in medical billing, including filing claim appeals . The ideal candidate will have strong organizational skills,...accuracy based on fee schedules - Prepare and submit appeals for underpaid or denied claims - Follow up… more
- Mount Sinai Health System (New York, NY)
- …providers/practices 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… 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… more
- Mount Sinai Health System (New York, NY)
- …in accordance with policies and procedures. 3. May run and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a ... timely basis. 4. Posts all payments in IDX using approved methodologies. 5. May perform specialty coding for services and medical office visits and review physician coding and provide updates to physicians and staff. 6. Works TES, BAR and eCommerce edits for… more
- Molina Healthcare (NY)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. +… more