- Excellus BlueCross BlueShield (Buffalo, NY)
- …of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals . Participates in provider network development and new market ... we encourage you to apply! Job Description: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to ... dollar accounts. + Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person… more
- FlexStaff (Chappaqua, NY)
- …on fee schedules - Prepare and submit appeals for underpaid or denied claims - Follow up with insurance carriers regarding outstanding balances - Respond to ... with a minimum of 2 years of experience in medical billing, including filing claim appeals . The ideal candidate will have strong organizational skills, excellent… more
- Rochester Regional Health (Rochester, NY)
- …in denials and taking corrective actions. RESPONSIBILITIES: + Medical Billing & Claims Management: Submit and track insurance claims , resolve denials and ... Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied … more
- Mount Sinai Health System (New York, NY)
- …plus 3 years of relevant experience + Certified coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....systems in a health care or insurance environment preferred **Responsibilities** 1. Enters office, inpatient, and/or… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …**Job Duties:** + Manual billing and payment application for secondary insurances, Noble Medical Billing Claims , home infusion claims , and DME ... the electronic payment application for Medicare + Help complete any Medicare audits, medical records requests, and appeals and monitor the outcomes. + Reconcile… more
- Helio Health Inc. (Syracuse, NY)
- …Maintains accurate files necessary for research and documentation. + Researches open claims and processes appeals when necessary. Follows up on patient ... mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up on accounts...staff when a question or concern arises. + Communicates insurance trends and unresolved appeals to the… more
- Mount Sinai Health System (New York, NY)
- …+ Licensing: None but CPC preferred **Experience requirements:** + 2 years experience in medical billing or health claims with IDX billing systems in a health ... these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** **Education requirements:** + High School...care or insurance environment and familiarity with ICD/CPT coding + Licensing:… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …The Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial ... investigate and resolve rejections or denials promptly. + Prepare and submit appeals for denied claims , including documentation and provider narratives as… more
- Rochester Regional Health (Rochester, NY)
- …the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed ... a Medical Office environment preferred . + Basic knowledge of medical billing, cording, collection processes, insurance policies and governmental regulation… more