- Callen-Lorde Community Health Center (New York, NY)
- …patient service charges in EPIC, preparing and submitting electronic and paper claims , processing payments from third-party payers and patients, and managing ... MEDICAL BILLER AND CODER (CPC) Job Details Job...sequencing and modifiers, reviewing and validating coding for denied claims , and serving as a coding resource for the… more
- Molina Healthcare (Rochester, NY)
- …and test assumptions through data, but lead with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... as the professional scope of a Payment Integrity Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate… more
- FLACRA (Newark, NY)
- …FLACRA's billing and payment collection processes. This position is responsible for processing claims , managing accounts receivable, and ensuring timely and ... Medical Biller FLACRA Newark, NY (Onsite) Full-Time $20.00...balances. + Work with insurance companies to address disputed claims and resolve processing issues. + Maintain… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. * Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. * Experience in ... working with insurance plans and understanding of claim adjudication processes. **Compensation Statement** The Mount Sinai Health...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- Access: Supports For Living (Middletown, NY)
- …identified revenue cycle billing issues + Handling billing cycle review procedures for pre- processing (scrubbing) of weekly claims processing + Analyze, ... throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim ...billing and processing program claims for accuracy and completeness; submit claims … more
- Rochester Regional Health (Rochester, NY)
- …and authorization details. + Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate . ... effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials… more
- Rochester Regional Health (Rochester, NY)
- …and authorization details. + Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate. Contact ... effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials… more
- Citigroup (Getzville, NY)
- …and product processor systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim is paid / ... is restricted to own team. **Responsibilities:** + Support incoming claim functions including logging the request, investigating the client...up to date and accurate audit trails for all claims + Be prepared for weekly aging sessions to… more
- Mount Sinai Health System (New York, NY)
- …and ICD (coding and CCI edits). + Anesthesiology Experience Preferred + Electronic claims processing preferred. **Responsibilities** + Follows up on submitted ... payer and provider representatives to negotiate higher rates for claim payments. + Responds to patient and third party...balances to appropriate financial class and provide documentation for processing the claims . + Reviews Credit Letter… more
- Leviton (Melville, NY)
- …recording and application of all customer cash receipts and the posting of claims and chargebacks. This role will evaluate, process, and resolve customer deductions ... generating resolution effort reports in Excel to highlight trends and track claim outcomes. Collaborate with outside sales, logistics, warehouse, and customers to… more