- Molina Healthcare (Yonkers, NY)
- …of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
- Bassett Healthcare (Oneonta, NY)
- …sure the patients needs are met) or prescription requests using the electronic medical record messaging system as observed by Supervisor and reported by providers ... completing Open Referrals and/or referral tracking queue. + Alerts Manager or Supervisor of referrals that are unable to...+ Ensures all orders have been pended in electronic medical record if necessary. + Acts as a Subject… more
- WMCHealth (Hawthorne, NY)
- …providing analysis and reporting for all Denial Management functions at Westchester Medical Center Health Network. The role will be responsible for enabling ... Leader for operational improvement + Works with Local System Coding leaders to determine appropriate changes for DRGs, CPT,...quality + Works under the direction of the Denial Manager to analyze denial and underpayment reports, provide feedback… more
- Mount Sinai Health System (Wantagh, NY)
- …+ Maintains Program records through filing, retrieval, retention, storage, coding , updating and destruction. + Types routine confidential and non-confidential ... by attending physician. + Assist in the maintenance of medical charts and/or electronic medical record (filing,...outstanding invoices, POs and check request + Assist credentialing manager when needed, especially in projects with deadlines. +… more
- Vatica Health (Rochester, NY)
- …providers and medical office personnel such as Practice and Billing Manager , both verbally and written + Understanding of health insurance benefit structure; ... patient data to improve care coordination, quality metrics, and medical cost savings. The ideal candidate has a track...ED) + Proficiency with Diagnosis, Billing, and Quality Measures Coding a plus + Excellent interpersonal skills that include… more
- Cardinal Health (Albany, NY)
- …or more years' experience management of medical office setting working with medical insurance, coding and financial matters preferred + Working knowledge of ... Management oversees the business and administrative operations of a medical practice. The Revenue Cycle Management team manages a...for financial counseling workflows + Deliver monthly KPI's to manager on time for prior month. + Manage and… more
- Cardinal Health (Albany, NY)
- …as necessary. + 2 years' experience in medical office, working with medical insurance, coding and financial matters or pharmacy technician preferrred + ... Management oversees the business and administrative operations of a medical practice. Financial assistance counselors guide patients through their healthcare… more
- Access: Supports For Living (Middletown, NY)
- …per hour Hours: Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager , the Senior Billing Specialist is a key position in the financial ... all programs. + Understand and remain updated with current coding and billing regulations and compliance requirements + Oversight...well as on a collaborative team. + Knowledge of Medical Insurance programs such as Medicaid, Medicare and Dual… more
- Stony Brook University (Stony Brook, NY)
- …tools such as Olympus, Bedrock, Discern, Core Code Builder, Core Event Manager , and Ops View Scheduler. Daily responsibilities will include researching and building ... global and departmental process and system design activities + Adheres to coding guidelines and standards of Information technology and documents all work according… more
- Avispa Technology (New York, NY)
- …1-2 days a week, typically Monday/Tuesday are required) * W2 Employment, Group Medical , Dental, Vision, Life, Retirement Savings Program, PSL * 40 hours/week, 9 ... audit fieldwork activities under the direction of the audit manager and director, including reporting and audit wrap-up. *...tools such as Excel, ACL, Tableau and Python or coding is preferred but not required. * Willingness to… more
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