- Excelsior Orthopaedics Group (Amherst, NY)
- …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, payer updates,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …to follow up on claim submissions, investigating patient accounts, resolving denials , and fielding all incoming correspondence. Candidate will answer incoming phone ... calls from patients pertaining to billing, insurance, and payments. Minimum Qualifications: 2-3 years Medical Billing Experience- Radiology preferred Follow -up skills Insurance knowledge Payment Experience EPIC Knowledge is a plus Team player as well as the… more
- Mount Sinai Health System (Elmhurst, NY)
- …electronic billing, and Follow Up work queues are monitored for enrollment denials . Supplies additional information as requested from third party carrier. 9. ... Coordinates epaces enrollment and gives access to the provider listing for billing vendor use. 10. Manages One App folder organization and filing format. 11. Provide excellent customer service, answers calls, and assists patients. 12. Performs other related… more
- Molina Healthcare (Rochester, NY)
- …for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for ... further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed… more
- Finger Lakes Health (Geneva, NY)
- …include managing the submission and tracking of authorization requests and denials , coordinating and scheduling patient appointments and procedures, acting as a ... liaison between providers and payers, and ensuring timely patient care and financial coverage. Essential Job Functions: (Maximum of the first 5 will be included in the performance appraisal) Managing the submission and tracking of authorization requests for… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Perform charge review, payment posting, AR follow up, denials /correspondence, and other assigned billing tasks. Minimum Qualifications: High School ... degree or equivalent and two years clerical support in a medical billing setting. Skills: Must be able to work independently with speed and accuracy, have strong interpersonal skills and have competency in position-specific computer software applications. Will… more
- ConvaTec (Massapequa, NY)
- …and guidelines, including authorizations and limitations. + Investigates insurance claim denials , exceptions, or exclusions. Takes necessary action to resolve claim ... and payer issues in an effort to recover proper reimbursement. + Provides customer service relating to all billing inquiries and complaints. Able to explain insurance processes, benefits, and exclusions. Follows HIPAA guidelines in handling customer… more
- BronxCare Health System (Bronx, NY)
- …Works with Clinic Administration to increase revenue and improve cash flow by reducing payment denials and system bill holds. Bill Hold Tracker to be kept up to date ... (Pre & Post Billing). - Develops with Clinic Operations corrective action plans to improve insurance identification and reporting. - Coordinates with Patient Financial Services (PFS) and Information Services to improve systems communication, tracking and… more
- Garnet Health (Middletown, NY)
- …we invite to make your career home with us as a CLinical Documnetaion Specialist on our CDI team at/in Garnet Health Medical Center. Responsibilities Under the ... and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the day to day operation of the CDI department… more
- Cardinal Health (Albany, NY)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials … more