- WMCHealth (Hawthorne, NY)
- …and formulate denials resolution strategies + Works with the Follow-up Manager to establish and monitor accounts receivable management and cash collection goals ... Denials Specialist Company: NorthEast Provider Solutions Inc. City/State:...quality + Works under the direction of the Denial Manager to analyze denial and underpayment reports, provide feedback… more
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: Under general supervision of the Manager , Health Information Services, the Denials Specialist performs activities to ensure appropriate ... improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working… more
- Arnot Health (Elmira, NY)
- …Arnot Health departments and third party payers to discourage preventable denials DUTIES AND RESPONSIBILITIES: 1. Retrospectively determines medical necessity and ... accordance with InterQual Criteria to assist with appeal of denials 2. Maintains a working knowledge of the requirements...of the requirements of 3rd party payers 3. Reviews denials from third party payers obtained from correspondence and… more
- Stony Brook University (Stony Brook, NY)
- Case Manager - Per Diem **Position Summary** At Stony Brook Medicine, a **Case Manager ** is a valuable member of our team, who provides clinical services to our ... our high standard of excellence. **Duties of a Case Manager in the Care Management Department may include the...Active participation with the physician and payer to prevent denials . Reviews cases for potential change in level of… more
- BronxCare Health System (Bronx, NY)
- Overview Assists in the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care ... and (d) Patient and Customer Service. - Reviews and denials notification letters along with the medical records and...improve outcomes. - Maintains an excel log related to denials /appeals activities in order to monitor successful appeals. -… more
- WMCHealth (Poughkeepsie, NY)
- Case Manager - RN Company: MidHudson Regional Hospital City/State: Poughkeepsie, NY Category: Nursing/Nursing Management Department: Case Management Union: No ... Internal Applicant link Job Details: JOB SUMMARY + The Case Manager assures timely, resource-effective transition planning, with respect for the patient… more
- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day management of the RN ... $95,000 plus based on education and experience Schedule: Full-Time, 8:00am-4:30pm Manager , Care Coordination Responsibilities: + Manager is responsible for… more
- Catholic Health Services (Bethpage, NY)
- …responding to requests for reviews in a timely fashion to avoid denials . Review records and collaborate with the interdisciplinary team to obtain information ... the patients, transmitting information to third party payors to avoid denials . Participate in interdisciplinary rounding and identify areas for improvement.… more
- Catholic Health Services (Bethpage, NY)
- …responding to requests for reviews in a timely fashion to avoid denials . Review records and collaborate with the interdisciplinary team to obtain information ... the patients, transmitting information to third party payors to avoid denials . Participate in interdisciplinary rounding and identify areas for improvement.… more
- Arnot Health (Elmira, NY)
- Job Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources for and manages the care of complex patients to facilitate ... achievement of quality and cost, patient outcomes. The Case Manager works collaboratively with interdisciplinary staff internal and external to the organization. The… more