- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... entry. 6. May run and work missing charges, edits, denials list and process appeals. Posts denials ...credentialing issues for department physicians. 15. Meets with practice management , leadership and/or physicians on a scheduled basis to… more
- BronxCare Health System (Bronx, NY)
- …includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality ... Health System (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies...increase revenue and improve cash flow by reducing payment denials and system bill holds. Bill Hold Tracker to… more
- Arc Allegany-Steuben (Hornell, NY)
- …money, why wait to be paid! Job Summary The Self Direction Billing Specialist is responsible for ensuring timely, accurate, and compliant billing for services ... all billing is submitted to accounting on a monthly basis. The Billing Specialist plays a key role in maintaining fiscal accountability and supporting the financial… more
- Highland Hospital (Rochester, NY)
- **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and perform quality control...for correct level of care, inquires on prior auth denials and works with the Provider's office to resolve,… more
- Molina Healthcare (Buffalo, NY)
- …and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- Molina Healthcare (Buffalo, NY)
- …and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- Mount Sinai Health System (Elmhurst, NY)
- …and/or meet with physicians regarding documentation and deficiencies. Review edits, denials and requests for additional information from the accounts receivable team ... other third party regulatory information are pertinent to coding requirements. Works with management and the billing vendor daily, on edit list and/or requests for… more
- Trinity Health (Syracuse, NY)
- …**EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified Coding Specialist , Accredited Record Technician (or eligible), Registered Record ... in an appropriate health care setting. Ideally, has a background in referrals, denials , and/or authorization processes. Working knowledge of ICD-9-CM, CPT & E & M… more
- US Physical Therapy (Uniondale, NY)
- …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 ... ensuring accurate claims management , timely collections, and smooth patient billing processes. **Why...claims from submission through payment + Follow up on denials , rejections, and appeals to ensure reimbursement + Communicate… more
- Carrington (Albany, NY)
- …and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on all liquidated loans. Identify ... informed of all trends and problems including, but not limited to, claim denials /curtailments and claim payment offsets. + Moderate working knowledge of all Default… more