- Ellis Medicine (Niskayuna, NY)
- …the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing , establish and maintain a close working relationship with ... WHAT WILL I GET AT ELLIS MEDICINE? + Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE! + Generous paid time off to support a… more
- Ellis Medicine (Schenectady, NY)
- …the Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing , establish and maintain a close working relationship with ... charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete,… more
- WellLife Network (NY)
- …Revenue Cycle Associate will review and manage all aspects of the billing and accounts receivable cycle, including charge entry, claim submission, and follow-up ... balances. **Essential Functions:** 1. Prepare and submit timely, and accurate claims to private and public insurance payers, including Medicare, Medicaid, and… more
- US Physical Therapy (Uniondale, NY)
- …join our Garden City team! This role is essential in ensuring accurate claims management, timely collections, and smooth patient billing processes. **Why You'll ... and collection processes **Qualifications** + 2+ years of experience in medical billing / claims management + Familiarity with CPT, ICD-10, and modifiers + Strong… more
- Oracle (Albany, NY)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for ... clinical validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities to… more
- Sedgwick (Buffalo, NY)
- …and government entities. The auditor will apply client specified billing guidelines and/or Generally Accepted Principles and Standards ("GAPS"). **ESSENTIAL ... RESPONSIBILITIES** + Ability to understand and apply clients' billing guidelines and standards. + Work with client to...+ A diverse and comprehensive benefits offering including medical, dental vision, 401K and PTO. + Wellness benefits including… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …findings in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases ... or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing… more
- New York State Civil Service (Albany, NY)
- …with a variety of health care complaints, including, but not limited to billing and claims reimbursement disputes; denials of coverage for medical treatment, ... medical devices; incorrect processing of medical, mental health and substance abuse claims ; access to specialty and transitional care; termination of health plan… more
- Humana (Albany, NY)
- …Operations encompasses critical functions including care coordination, quality measurement, billing , claims processing, and customer service, each essential ... building deep operational knowledge of core functional areas (care coordination, quality, billing , claims , and customer service). + Collaborate with each… more
- Highmark Health (Albany, NY)
- …coupled with a general understanding of data flows from various corporate systems (eg, claims , billing , lab, and Rx), to solve complex issues and problems. A ... claims and encounters, clinical data, prescription drug data, membership data, dental and vision claims , provider data, financial data (ie, revenue, premium,… more