- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... collaborate with payers, providers, and internal teams to turn denials into resolved claims and confusion into...United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York's Southern Tier comprising four… more
- Syracuse Community Health Center (Syracuse, NY)
- POSITION SUMMARY: The denials management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic ... Medical Terminology required. Demonstrated understanding of billing requirements for claims , demonstrated knowledge of healthcare insurer reimbursement systems,… more
- Molina Healthcare (Yonkers, NY)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Stony Brook University (East Setauket, NY)
- …from healthcare decision support, patient accounting, contract management and/or claims scrubber systems. + Proficiency with SAP Business Objects / Crystal ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...candidates will have a bachelor's degree and three years' healthcare revenue cycle experience or in lieu of degree… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials . Investigate coding issue. Audits. + Follow-up on rejected ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service.… more
- Excelsior Orthopaedics Group (Amherst, NY)
- Job Summary The Billing Specialist plays a critical part in maintaining the financial integrity of the practice by ensuring accurate and efficient billing and ... from insurance carriers and patients on a timely basis. The Billing Specialist must possess comprehensive experience in orthopedic or surgical billing, a solid… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials . Investigate coding issue. Audits. + Follow-up on rejected ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service.… more
- Molina Healthcare (Buffalo, NY)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes,...and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists… more
- Robert Half Accountemps (New York, NY)
- …medical claim denials to identify errors or discrepancies. * Resubmit claims under Medicaid guidelines to ensure compliance and accuracy. * Utilize medical ... eClinicalWorks. * Exceptional attention to detail and accuracy in reviewing and submitting claims . * Ability to analyze claim denials and implement effective… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more