- Northwell Health (Melville, NY)
- …and medical necessity for assigned case. Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care ... current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness… 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
- Rochester Regional Health (Rochester, NY)
- Job Title: Business Office Representative Department: Location: Hours Per Week: Schedule: Sign-On Bonus: SUMMARY: Ensure full reimbursement is received by RRH for ... sent to primary and secondary insurances. Research and resolve denials and payer requests for information promptly and accurately...phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed… more
- 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
- The Institute for Family Health (New Paltz, NY)
- …standards, objectives and policies of the Department and the Organization. The representative shall have a basic understanding of medical billing and collections and ... Explanation of Benefits for designated accounts and posts payments and denials accurately upon receipt. + Provides clerical support to senior representatives… more
- University of Rochester (Albany, NY)
- …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the professional ... and routine action to resolve unpaid claims. The Claims Resolution Representative III reports to Accounts Receivable Management. **ESSENTIAL FUNCTIONS** With general… more
- 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 ... established for the department. RESPONSIBILITIES: + Interviews the patient/patient representative for Direct Admissions, Outpatient Services, and Ambulatory Surgery,… more
- 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 ... established for the department. RESPONSIBILITIES: + Interviews the patient/patient representative for Direct Admissions, Outpatient Services, and Ambulatory Surgery,… more