- 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 ... **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits… more
- US Physical Therapy (Uniondale, NY)
- …Manage commercial insurance claims from submission through payment + Follow up on denials , rejections, and appeals to ensure reimbursement + Communicate with ... Physical Therapy is growing and looking for a **motivated, detail-oriented Accounts Receivable Specialist ** to join our Garden City team! This role is essential in… more
- 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
- Garnet Health (Middletown, NY)
- …responsible for the day to day operation of the CDI department and DRG Denials appeals process. The Manager will develop, implement and evaluate processes, ... your career home with us as a CLinical Documnetaion Specialist on our CDI team at/in Garnet Health Medical...accuracy of medical record documentation. The Manager will evaluate denials and work closely with the outcomes manager and… more
- Mohawk Valley Health System (Utica, NY)
- …and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of ... 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… more
- WMCHealth (Valhalla, NY)
- …role is expected. Does related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. ... Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the… more
- Cardinal Health (Albany, NY)
- …in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + ... prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and...Processes denials & rejections for re-submission (billing) in accordance with… more
- University of Rochester (Rochester, NY)
- …company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which ... functionality required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to insurance or… more