- Molina Healthcare (Rochester, NY)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment is ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Mount Sinai Health System (New York, NY)
- …payment of claims and collection, and in analysis and problem resolution . **Qualifications** + Associates Degree or high school diploma/GED plus 3 years of ... **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250... medical billing + 3 years experience in medical billing or health claims , with experience… more
- Evergreen Health (Buffalo, NY)
- …provide culturally competent care to everyone in our community. The Billing Specialist is primarily responsible for processing insurance claims , which includes ... of the Essential Functions of this role, the Billing Specialist : + Submits clean claims to...+ Reviews claim denials and contacts insurance companies for resolution , as needed. + Reports denial trends immediately to… more
- Mount Sinai Health System (New York, NY)
- …payment of claims and collection, and in analysis and problem resolution . **Qualifications** + Associates Degree or high school diploma/GED plus 3 years of ... **Job Description** The Billing Specialist is responsible for multiple components of the...relevant experience + Certified coder required + Experience in medical billing or health claims , with experience… more
- Molina Healthcare (Syracuse, NY)
- …Summary** Responsible for reviewing and resolving Medicare member appeals and Medicare claims in communicating resolution to members and provider (or authorized ... and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals from Molina members, providers and related… more
- Molina Healthcare (Buffalo, NY)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more
- Loretto Management Corporation (Syracuse, NY)
- Overview The Leave Management/Payroll Specialist is responsible for coordinating the organization's leave of absence program and assisting with the processing of the ... HR Business Partners on all related leave of absence claims . Meets regularly to review the status of ... and develops legally sound strategies for mutually beneficial resolution . + Assists in the creation and facilitation of… more
- Independent Health (Buffalo, NY)
- …statistics. + Perform validation of diagnosis and procedure coding by reviewing medical record documentation and/or provider claims data. Ensure coding ... fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on… more
- SUNY Upstate Medical University (Syracuse, NY)
- …work queue. Serves as a resource to patients, staff, and medical providers for prior authorizations. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under general ... Assists clinics and patients with understanding prior authorizations and their medical (and possibly the pharmacy) benefits as required. Educates patients and… more
- Glens Falls Hospital (Glens Falls, NY)
- …broaden your career horizons at Glens Falls Hospital! Come join our team of medical billing experts as the Accounts Receivable Specialist ! This is an exciting ... *The Impact You Can Make* Attention all dedicated medical billing professionals!! The Patient Financial Services (PFS)...payer websites, and provider representatives * Promptly resolve denied claims with a goal of one touch resolution… more
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