- Excellus BlueCross BlueShield (Rochester, NY)
- …case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of ... Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical ...detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case… more
- Mount Sinai Health System (New York, NY)
- …plans for resolving billing disputes. + Keeps abreast of changes in Medicare and Medicaid regulations that impacts Practice and Billing Office operations. + ... in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** + Associate?s degree in… more
- Mount Sinai Health System (New York, NY)
- …and compliance of the organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to the Senior ... health system facility or multi-entity revenue cycle environment. + Extensive knowledge of medical billing software and electronic medical records.Must have… more
- Mount Sinai Health System (New York, NY)
- …The ideal candidate will possess advanced knowledge of professional charging, billing , physician fee schedules, Epic workflows and quality reporting measures. This ... working with the Professional Charge Description Master, preferably in an academic medical center. + 5 plus years with Epic Experience, Epic certification desirable.… more
- Weill Cornell Medical College (New York, NY)
- Title: Senior Medical Secretary Location: Upper East Side Org Unit: Human Capital Administration Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: ... that patients provide any pre-visit documentation, pre-certifications or authorizations for medical services as needed, and/or a referral, if required. + Schedules,… more
- University of Rochester (Rochester, NY)
- …Accounting, Consumer Collections experience, or Certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist ... of aged insurance accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions… more
- Mount Sinai Health System (New York, NY)
- …or equivalent credential required + Proficient in CPT, HCPCS, revenue codes, and Medicare billing regulations. + Advanced proficiency in Epic, especially in EAP ... seek an experienced Senior Financial Analyst / CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance, and optimization of the… more
- WMCHealth (Poughkeepsie, NY)
- …compassion. Special Requirements: Knowledge of Patient management System(s), payer websites, medical terminology, Medicare medical necessity and commercial ... Clerk processes insurance claims to third party health carriers for billing of medical services provided to patients at Westchester Medical Center.… more
- WellLife Network (NY)
- …preferred or minimum five (5) yrs. experience required. + Proven experience in medical and clinic-based billing , with strong understanding of billing ... Revenue Cycle Associate will review and manage all aspects of the billing and accounts receivable cycle, including charge entry, claim submission, and follow-up… more
- Molina Healthcare (Buffalo, NY)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form) + Demonstrated understanding of key managed ... **Job Summary** The Manager, Medical Economics provides support and consultation to the...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB… more