- Mount Sinai Health System (New York, NY)
- **Job Description** The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, ... accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to...+ Associates Degree preferred + 5 years experience in medical billing or health claims, with experience in IDX… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The UR-CR Specialist I is primarily responsible for ensuring that patient care services are appropriately recorded and utilized in accordance with ... hospital stay. The UR-CR 1 will collaborate with the medical team and the UR medical directors...CR 1 will act as a liaison for discharge appeals and social admissions, preparing regulatory notices for delivery… 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
- Shinda Management Corporation (Queens Village, NY)
- Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in the ... community by redefining affordable housing. Description SMC is seeking a Compliance Specialist to join our compliance department. Under the supervision of the Manger… more
- WellLife Network (Elmont, NY)
- …and operate systems skillfully to track the stages of benefit applications and appeals processes that will provide concrete statistical data. The EES Specialist ... the possible consequences regarding that consumer's specific financial situation. The EES Specialist will act as a liaison between the consumer and governmental… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... relevant experience + Certified coder required + Experience in medical billing or health claims, with experience in EPIC...and work missing charges, edits, denials list and process appeals . Posts denials in EPIC/IDX on a timely basis.… more
- Excelsior Orthopaedics Group (Amherst, NY)
- Job Summary We are seeking a detail-oriented and experienced Medical Coder to join our Ambulatory Surgery Center (ASC) team. This role is responsible for accurately ... Monitor and respond to coding-related denials, rejections, and edits; assist with appeals and identify areas for process improvement. + Collaborate with the billing… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medication Authorization Specialist Location: Greece and Medical Office Building (MOB - Irondequoit) Hours Per Week: 40 SUMMARY: This role helps ... requests for cardiology medications, and monitor approvals, step therapy requirements, and appeals to ensure timely access to treatment. + Collaborate with providers… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical information ... facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials. **Qualifications** +… more
- US Physical Therapy (Uniondale, NY)
- …Physical Therapy is growing and looking for a **motivated, detail-oriented Accounts Receivable Specialist ** to join our Garden City team! This role is essential in ... claims from submission through payment + Follow up on denials, rejections, and appeals to ensure reimbursement + Communicate with insurance carriers and patients to… more