- Rochester Regional Health (Rochester, NY)
- …- 5:00 PM SUMMARY The Billing and Reimbursement Specialist is responsible for timely processing of medical claims for DRUGSCAN. RESPONSIBILITIES + Process ... up. + Contact third party payers on a timely basis to obtain claim processing status and clarification regarding un-responded or partially responded claims . +… more
- The Institute for Family Health (New Paltz, NY)
- …3 years of medical billing experience required + Proficiency in EPIC claims processing workflows preferred + Ability to run and interpret/analyze Crystal and ... of denials are at optimal levels + Ensure daily/weekly/monthly medical claim submission. Resolve claim and remittance file issues... professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating… 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 ... to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- University of Rochester (Rochester, NY)
- …as to why claims are not paid and steps necessary for processing /payment. - - Initiate collection phone calls to insurance companies to determine reason for ... independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues that affect… 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, ... billing and processing program claims for accuracy and completeness; submit claims ...well as on a collaborative team. + Knowledge of Medical Insurance programs such as Medicaid, Medicare and Dual… more
- Canon USA & Affiliates (Albany, NY)
- **Mgr Medical Affairs - Clinical Development Sr - HIT - req1494** **OVERVIEW** Works independently and as part of a dynamic and fast-paced team of clinical and ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… 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 ... balances to appropriate financial class and provide documentation for processing the claims . + Reviews Credit Letter...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- University of Rochester (Albany, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments to generate a ... rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims...+ 5% Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists assigned to pre claim WQ's to… more
- Sedgwick (Rochester, NY)
- …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more