- Humana (Albany, NY)
- …the same day. + Process provider and member letters (Letter of Agreements, Approvals, Denials etc.) + Mail letters to members. + Assist the team with various ... necessary. + Participate in special projects as assigned by your Supervisor or Manager . **Use your skills to make an impact** Additional Job Description **Required… more
- New York State Civil Service (Islandia, NY)
- …ensuring the claimants' rights are fully protected.* Conducts hearings relating to denials of authorization for medical treatments; rules on legal objections to ... remote work. A hybrid telecommuting schedule can be discussed with the hiring manager during the interview.We offer a work-life balance and a generous benefits… more
- ConvaTec (Massapequa, NY)
- …and guidelines, including authorizations and limitations. + Investigates insurance claim denials , exceptions, or exclusions. Takes necessary action to resolve claim ... Performs other billing duties as requested by the Billing Supervisor, Billing Manager , or Director of Billing. **Qualifications/Education:** + Must have a high… more
- City of New York (New York, NY)
- …to ensure accuracy following CMS and other third-party insurance guidelines.- - Monitor EDI denials in a timely manner. - Prepare and batch claims out to third party ... of full-time satisfactory experience in employee benefits or health insurance as a manager , research analyst, or underwriter, or in public health education. One year… more
- University of Rochester (Rochester, NY)
- …to improve patient compliance, including provider template oversight, reporting to manager any obstacles to timely scheduling. + Ensures ancillary testing and ... insurance company by applying knowledge and experience of previous authorization requests, denials , and approvals. + On behalf of the provider and the University,… more
- University of Rochester (Albany, NY)
- …Receivable Management. **ESSENTIAL FUNCTIONS** With general direction of the Manager /Supervisor/Lead: + 40% Follows department policies and procedures and maintains ... assigned URMFG physician services. + 25% Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections received thru… more
- University of Rochester (Rochester, NY)
- …improve patient compliance which includes provider template oversight, reporting to manager any obstacles to timely scheduling. Ensures ancillary testing and other ... insurance company by applying knowledge and experience of previous authorization requests, denials and approvals. On behalf of the provider and the University,… more
- Rochester Regional Health (Rochester, NY)
- …of service and plan of care. + Performs retrospective reviews on insurance denials and assists in appeal process. + Participates in daily Huddles, providing ongoing ... communication to the Charge Nurse and Nurse Manager to address complex clinical issues, system barriers, and patient/family issues, concerns. + Works with Care… more
- Albany Medical Center (Albany, NY)
- …coding quality and productivity, completes duties as assigned by the Quality Manager . Demonstrate behavior that reflects integrity, shows a commitment to ethical and ... professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are… more
- Nuvance Health (Poughkeepsie, NY)
- …* Mentor and train junior coders * Perform audits as assigned by coding manager * Demonstrates advanced knowledge of the impact of coding decisions on revenue cycle, ... including the ability to assist in appealing payer denials . * Responds to all business office questions regarding diagnoses and procedures in a timely manner. *… more