- New York State Civil Service (Islandia, NY)
- …medical issues, may require the examination of a claimant by an impartial specialist in accordance with law and Board rules; determines specialty in field of ... medicine in which impartial specialist must be qualified; prepares findings of fact and...claimants' rights are fully protected.* Conducts hearings relating to denials of authorization for medical treatments; rules on legal… more
- Molina Healthcare (Syracuse, NY)
- …reported accurately to maintain compliance and to minimize risk and denials . **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis ... Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred Education** Bachelor's Degree in related field **Preferred… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Lead Physician Support Specialist oversees and directs the burn PSS staff in the Plastic ... scheduling guidelines, and office management processes. The Lead Physician Support Specialist is responsible to consistently and regularly identifying areas of… more
- City of New York (New York, NY)
- …Billing by working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and support functions ... CMS and other third-party insurance guidelines.- - Monitor EDI denials in a timely manner. - Prepare and batch...or "2" above. Certification as a Certified Employee Benefits Specialist from the International Foundation of Employee Benefit Programs… more
- University of Rochester (Rochester, NY)
- …GENERAL PURPOSE Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... functionality required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to insurance or… more
- Albany Medical Center (Albany, NY)
- …Salary Range: $60,367.47 - $90,551.20 The Outpatient Senior Medical Coding Specialist (Specializing in Ambulatory Surgery) will be responsible for performing coding ... by the Quality Manager, including writing appeal letters and following trends in denials . They inform management of trends and needs for improvement related to… more
- Stony Brook University (Stony Brook, NY)
- …to include tracking hours used/taken, sending timely notifications of leave approvals or denials , and working closely with payroll to ensure that pay for employees ... to leaves and time reports. + Collaborate with the Workers' Compensation Specialist on employee leaves related to accidents and injuries. + **Collective Bargaining… more
- Outreach Development Corporation (Brentwood, NY)
- …dates and requirements of tours/speaking engagements, open houses. Reimbursement Specialist Responsibilities: + Prepares Public Assistance application for HRA within ... Bills insurance and is responsible for the collection of insurance payments and denials . + Responsible for monthly revenue reports. Qualifications + Minimum of HS… more
- University of Rochester (Albany, NY)
- …accordance with universally recognized coding guidelines. + Reviews and resolves coding denials . + Resolves problems with claims having errors related to improper ... (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred or + Certified Professional Coder (CPC) from American… more
- University of Rochester (Rochester, NY)
- …coding, resolving coding charge review and claim edits, and resolving coding denials . 25% Identifies and escalates coding issues and trends to management. Assists ... Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist (CCS); CPC. Knowledge of ICD-9CM and ICD-10CM required -… more