- University of Rochester (Rochester, NY)
- …attention and follow up to obtain correct full reimbursement - Billing primary and secondary claims to insurance - Review paper claims prior to billing. ... as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues...resolution and adjudication, including refund of credits - - Review and advise supervisor or manager on trends of… more
- Robert Half Accountemps (New York, NY)
- …with experience in medical billing and coding. Responsibilities: * Analyze and review medical claim denials to identify errors or discrepancies. * Resubmit ... under Medicaid guidelines to ensure compliance and accuracy. * Utilize medical billing software, including eClinicalWorks, to process claims efficiently. *… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected ... and collection agencies. + Identify issues and patterns with claims /insurance companies and review to increase revenue...preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience; **_or_** in lieu of… more
- University of Rochester (Rochester, NY)
- …Documents all account follow up activity. + Research and calculate under or overpaid claims ; determine final resolution + Review and determine correct follow up. ... as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...+ Works in assigned EPIC follow up workqueue(s). + Review reason for claim denial - reason code or… more
- Helen Keller National Center for Deaf Blind Youths… (Sands Point, NY)
- …ONE part time career opportunities available to join the HKNC team as a Medical Billing Specialist. The Medical Billing Specialist is responsible for the ... accurate preparation, submission, and follow-up of claims for services funded by the Office for People... meet Medicaid and OPWDD billing compliance standards. * Review service documentation to ensure accuracy and completeness prior… more
- Mount Sinai Health System (New York, NY)
- …to be escalated to insurance providers or legal entities for resolution. * Review hospital and professional claims processes to identify gaps and discrepancies, ... potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Molina Healthcare (Rochester, NY)
- …as the professional scope of a Payment Integrity Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate ... tracking cost containment initiatives through comprehensive clinical and financial analysis of claims data, medical documentation, and itemized bills. + Leads… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected ... and collection agencies. + Identify issues and patterns with claims /insurance companies and review to increase revenue...preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience; or in lieu of… more
- Travelers Insurance Company (Melville, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage or liability… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for Global ... Medical Affairs across all therapeutic areas and brands. This...+ Collaborate with Compliance and Legal to maintain robust review processes and documentation. + **Leadership & Innovation:** +… more