• Coding and Billing Specialist, Surgery Center

    Excelsior Orthopaedics Group (Amherst, NY)
    …clarify documentation and ensure code accuracy. + Monitor and respond to coding-related denials , rejections, and edits; assist with appeals and identify areas ... for process improvement. + Collaborate with the billing team and other departments to resolve discrepancies and optimize revenue cycle performance. + Participate in internal audits, meet coding accuracy benchmarks, and stay current with coding regulations,… more
    Excelsior Orthopaedics Group (07/22/25)
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  • Senior Director, Patient Financial Services…

    Mount Sinai Health System (New York, NY)
    …days in Accounts Receivable, increasing cash collections, reducing bad debt decreasing denials and eliminating write offs due to process issues. + Ensures workflows ... align with revenue cycle best practices to reduce claim denials , improve cash collections and enhance clean claim rates....department such as coding, IT, clinical service areas and appeals to ensure seamless end-to-end revenue cycle performance. +… more
    Mount Sinai Health System (08/12/25)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …Arnot Health departments and third party payers to discourage preventable denials DUTIES AND RESPONSIBILITIES: 1. Retrospectively determines medical necessity and ... admission and stay in accordance with InterQual Criteria to assist with appeal of denials 2. Maintains a working knowledge of the requirements of 3rd party payers 3.… more
    Arnot Health (08/08/25)
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  • Utilization Management Specialist-MSH-Case…

    Mount Sinai Health System (New York, NY)
    …facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials . ... MSH, Mount Sinai Hospital **Responsibilities** + **Admission: Payer Authorization & Denials Management.** Communicate with payer to obtain request for clinical… more
    Mount Sinai Health System (07/12/25)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as a liaison with payers ... to facilitate approvals and prevent denials or carved out days when appropriate. Provide telephonic...carved out days when appropriate. Provide telephonic and written appeals as requested for commercial payors. + Perform reviews… more
    Mohawk Valley Health System (07/09/25)
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  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    …business functions including, but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue ... limited to:** + Prepare and submit hospital claims. Review denials . Investigate coding issue. Audits. + Follow-up on rejected...denied claims, improper payments and coding issues. + Process appeals . + Liaise with third party billing and collection… more
    Stony Brook University (08/19/25)
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  • Revenue Specialist

    Stony Brook University (East Setauket, NY)
    …business functions including but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue ... limited to:** + Prepare and submit hospital claims. Review denials . Investigate coding issue. Audits. + Follow-up on rejected...denied claims, improper payments and coding issues. + Process appeals . + Liaise with third party billing and collection… more
    Stony Brook University (07/08/25)
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  • Business Office Representative

    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 ... coverage changes as needed. + Review and process claim denials according to established processes. Research and resolve denial...phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed… more
    Rochester Regional Health (08/20/25)
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  • Revenue Cycle Specialist I

    The Institute for Family Health (New Paltz, NY)
    …Explanation of Benefits for designated accounts and posts payments and denials accurately upon receipt. + Provides clerical support to senior representatives ... such as mailing paper claims, preparing spreadsheets for appeals , or maintaining data spreadsheets as directed by the...on daily basis. + Recognizes issues relating to claims denials and communicates such information in a timely manner… more
    The Institute for Family Health (08/01/25)
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  • Business Office Representative

    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 ... coverage changes as needed. + Review and process claim denials according to established processes. Research and resolve denial...phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed… more
    Rochester Regional Health (06/25/25)
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