- 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 ... Associate degree preferred. + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required. + Minimum of 1 year… 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
- Catholic Health (Buffalo, NY)
- …reviewing billing information, verify accuracy of charges. Performs follow-up on insurance company denials on a timely basis + Review of all claims for accuracy + ... Review and identify errors or issues with billing and correct the issue for billing + Review and correct all response files from electronic submissions + Document all patient accounts with each action taken into appropriate system. + Follow up on all daily… more
- Trinity Health (Syracuse, NY)
- …experience desired. Experience and knowledge of working on appeals for insurance denials and identifying root cause. Knowledge of Hospital and/or Physician group ... practice revenue cycle front-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge related errors. Ability to organize and to prioritize work in a diverse, fast-paced environment while working… more
- Trinity Health (Syracuse, NY)
- …experience desired.Experience and knowledge of working on appeals for insurance denials and identifying root cause.Knowledge of Hospital and/or Physician group ... practice revenue cycle front-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge related errors.Ability to organize and to prioritize work in a diverse, fast-paced environment while working… more
- SUNY Upstate Medical University (Syracuse, NY)
- …queues and claim edit errors, Assists with audits & analysis of denials . Assists with development of training materials. Appropriately relays issues identified as ... needing higher level of intervention. Acts as liaison between the Emergency Department & Registration when problems/issues arise. Provide direction and leadership to subordinate staff assigned to same shift to ensure smooth and efficient patient flow. Liaison… 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
- The Institute for Family Health (New Paltz, NY)
- …collections of insurance and patient due balances and that processing of denials are at optimal levels + Ensure daily/weekly/monthly medical claim submission. ... assist with posting patient and insurance cash receipts, daily reconciliations, posting insurance denials , and work queue maintenance as needed to ensure all work is… 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
- WMCHealth (Valhalla, NY)
- …related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. + Interprets and applies ... necessary information. + Compiles and updates the appeal log detailing denials , hospital's reply, and follow-up responses. + Provides information and responds… more