- Mount Sinai Health System (New York, NY)
- …claims, with experience in IDX billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding + Licensing: None but CPC preferred ... **Responsibilities** 1. Verifies insurance and registration data for scheduled outpatient/inpatient encounters and...and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a timely basis.… more
- Highmark Health (Albany, NY)
- …medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and ... + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for posting of line item insurance payments and patient payments into the billing system, posting of declines, charge corrections, ... working with CPT and ICD-10 coding and CCI edits **Responsibilities** 1. Reviews insurance Explanation of Benefits and posts payments to billing system. 2. Posts… more
- Saratoga Hospital (Saratoga Springs, NY)
- …and internal teams. Manage incoming voicemail and responds to patient, health insurance and payer vendors' queries as appropriate. + Assists with Denials team ... and documents, entering data into the EMR system, assisting in compiling appeals and reconsiderations. + Collaborate and communicate effectively with employees and… more
- Touro University (Brooklyn, NY)
- …departmental meetings and appoint departmental committees + Advise and respond to student appeals and requests + Recommend changes to maintain the relevance of the ... Plan + Dependent Care and Transit Programs + Life Insurance , AD&D and Voluntary Supplemental Life Insurance ...Life Insurance , AD&D and Voluntary Supplemental Life Insurance + Short-term and Long-term disability programs + Retirement… more
- Touro University (New York, NY)
- …credits, monitors the progress of majors, and responds to student appeals appropriately + Coordinates and supervises student learning assessment activities within ... Plan + Dependent Care and Transit Programs + Life Insurance , AD&D and Voluntary Supplemental Life Insurance ...Life Insurance , AD&D and Voluntary Supplemental Life Insurance + Short-term and Long-term disability programs + Retirement… more
- Mount Sinai Health System (New York, NY)
- …facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** + ... PFS and ensures relevant info available to PFS for billing purposes. Contact insurance companies and set up peer to peer telephone conference. Communication sent to… more
- Heritage Ministries (Gerry, NY)
- …in a timely and organized manner. + Implement processes for claims follow-up, appeals , and resolution, working closely with payers and other stakeholders to resolve ... + 401k + Employer contributed Medical, Dental, and vision insurance + Employer paid life insurance + Paid training opportunities + Education Assistance plans +… more
- MetLife (Oriskany, NY)
- …and fast-paced environment and in accordance with state and department of insurance regulations. * Develop actions plans and identify return to work potential ... and thorough manner. Identifies and refers appropriate matters to our appeals , complaint, or litigation support areas. Essential Business Experience and Technical… more
- New York State Civil Service (Albany, NY)
- …applications.Civil Investigations: Works on investigations of potential violations of the Insurance , Banking, Financial Services, and other state and federal laws, ... Senior Attorney in OGC will conduct hearings to review and/or decide appeals from agency determinations, claims regarding issues such as eligibility for benefits,… more