- FlexStaff (Chappaqua, NY)
- …of 2 years of experience in medical billing, including filing claim appeals . The ideal candidate will have strong organizational skills, excellent attention to ... committed to high-quality healthcare administration. Key Responsibilities: - Review insurance payments for accuracy based on fee schedules -...accuracy based on fee schedules - Prepare and submit appeals for underpaid or denied claims - Follow up… more
- Albany Medical Center (Albany, NY)
- …securing revenue for services provided by Physicians of Albany Med by completing appeals , phone calls, and account review. This position is a Medical billing ... services provided by Physicians of Albany Med by completing appeals , phone calls, and account review. Qualifications: + High...discrepancies in regards to CPT-4 and ICD-10 codes with Insurance Companies + Validate and Correct registration and … more
- Brooklyn Defender Services (Brooklyn, NY)
- …intake through the life of a case in Brooklyn Family Court as well as occasional final appeals with the assistance of the Law and Appeals unit. + Work on an ... seeking family reunification when appropriate. + Represent their clients in interim appeals . + Prepare and argue written motions seeking increased visitation, family… more
- Mount Sinai Health System (New York, NY)
- …health claims, with experience in IDX billing systems in a health care or insurance environment, and strong familiarity with ICD/CPT coding + Licensing: None but CPC ... balances. + Discusses with patients the details concerning their insurance coverage and financial implications of out-of-network benefits, including… more
- Amgen (New York, NY)
- …the entire reimbursement journey through payer prior authorization to appeals /denials requirements and forms + Review patient-specific information in cases ... during the access process, including formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal,… more
- Humana (Albany, NY)
- …include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Humana (Albany, NY)
- …an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- J&J Family of Companies (New City, NY)
- …assigned. + Educate HCPs on product coverage, prior authorizations and appeals , reimbursement processes, claims submissions, procedures, and coding requirements of ... care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes) + Ability to establish relationships, collaborate, and influence… more
- Stony Brook University (East Setauket, NY)
- …business functions including but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue ... on rejected or denied claims, improper payments and coding issues. + Process appeals . + Liaise with third party billing and collection agencies. + Identify issues… more
- Centene Corporation (New York, NY)
- …members, as well as to individuals and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move beyond patient encounters ... optimize outcomes. + Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and… more