- ConvaTec (Massapequa, NY)
- …completeness of all required information prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits ... claims . + Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in ...proper reimbursement. + Provides customer service relating to all billing inquiries and complaints. Able to explain insurance… more
- Guidehouse (New York, NY)
- …of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle support services through efficient review and timely ... third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. **This position is 100% remote**… more
- Molina Healthcare (Yonkers, NY)
- … claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy ... tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Candidate will answer incoming phone calls from patients pertaining to billing , insurance , and payments. Minimum Qualifications: 2-3 years Medical ... Candidate will be responsible for following up on medical claims including but not limited to follow up on... Billing Experience- Radiology preferred Follow -up skills Insurance knowledge Payment Experience EPIC Knowledge is a plus… more
- ConnextCare (Oswego, NY)
- …+ Verify and obtain insurance eligibilities for all patient visits + Verify billing charges with the chart note to make sure all charges match the coding ... collection, slide, daily logs and/or incoming payments + Contact insurance companies to follow up on delinquent claims...the position + Upgrade to a higher level from Billing Rep. to Specialist to Senior would… more
- Stony Brook University (Commack, NY)
- Claims Processor **Required Qualifications (as evidenced by an attached resume):** Associates degree (foreign equivalent or higher). In lieu of degree, two (2) years ... working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding certification. Knowledge of… more
- CDPHP (Latham, NY)
- …Membership and Billing to resolve provider inquiries as defined within Claims Operations procedures. The Claims Representative is required to handle multiple ... and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people,… more
- SUNY Morrisville (Syracuse, NY)
- …15-week program, including medical terminology, CPT/HCPCS and ICD-10-CM coding, insurance billing , reimbursement procedures, and compliance regulations. Primary ... CMRS competencies. Teach core topics including: + Medical terminology and anatomy + Insurance claims processing + Coding systems (ICD-10-CM, CPT, HCPCS) +… more
- Stony Brook University (East Setauket, NY)
- …**Preferred:** + Experience investigating, reviewing, and following up on rejected, denied insurance claims and/or experience using claims scrubber systems. ... position will support day-to-day business functions including but not limited to: billing , claims analysis appeals, follow-up, financial assistance and customer… more
- US Physical Therapy (Uniondale, NY)
- …for career growth in revenue cycle management! **What You'll Do** + Manage commercial insurance claims from submission through payment + Follow up on denials, ... join our Garden City team! This role is essential in ensuring accurate claims management, timely collections, and smooth patient billing processes. **Why You'll… more