- Stony Brook University (East Setauket, NY)
- …**Preferred:** + Experience investigating, reviewing, and following up on rejected, denied insurance claims and/or experience using claims scrubber systems. ... will support day-to-day business functions including but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service.… more
- FlexStaff (New York, NY)
- …the office. Requirements: * 5+ years of experience in medical billing and claims processing, and insurance follow-up. * Certification in medical billing ... Medical Biller with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external… more
- Cognizant (Albany, NY)
- …assigned accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals , and retro-authorization as well as timely filing ... with Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims / appeals information on relevant tracking systems . Utilize critical… more
- Centene Corporation (New York, NY)
- …to optimize outcomes. + Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex ... as to individuals and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move...cases and medical necessity appeals . + Participates in provider… more
- University of Rochester (Albany, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. + Research claims , identify problems, and take ... . + Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies. 10% Keeps management informed… more
- TEKsystems (Rochester, NY)
- …in a Medical Office environment preferred -Basic knowledge of medical billing, cording, collection processes, insurance policies, and governmental regulation ... TEKsystems is hiring a team of Medical Billing Assistants to assist a healthcare client...policies, and/or phone calls to the payer. Submit corrected claims and appeals . -Process account adjustments and… more
- Weill Cornell Medical College (New York, NY)
- …the practice management billing system as needed. Tracks and resolves issues on denied claims . Resubmits or appeals claims as required. Escalates more ... direct supervision, performs billing and account receivable activities to maximize insurance reimbursement and promote faster payments while ensuring compliance with… more
- Humana (Albany, NY)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
- Cardinal Health (Albany, NY)
- …billing queue as assigned in the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure timely and ... **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more