- University of Rochester (Rochester, NY)
- …follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... and all audits. + Coordinates response and resolution to Medicaid and Medicare credit balances. + Requests insurance adjustments or retractions. + Reviews and… more
- Highmark Health (Buffalo, NY)
- …(URAC), Pennsylvania Department of Health, Department of Labor, the Center for Medicare and Medicaid Services (CMS) and state specific regulations. * Efficient ... timely receipt, review and assignment of all incoming physician reviewer referrals and appeals to ensure that NCQA, URAC, CMS, DOH, DOL and state specific regulatory… more
- Access: Supports For Living (Middletown, NY)
- …of behavioral health billing in New York State, particularly regarding Medicare , Medicaid, Medicaid Managed Care, and Commercial Insurance. Key Responsibilities + ... + Maintain a clear understanding of claims processing, payer denials, and appeals . + Prepare recurring and adjusting journal entries and financial analyses for… more
- University of Rochester (Albany, NY)
- …follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... and all audits. Coordinates response and resolution to Medicaid and Medicare credit balances. Requests insurance adjustments or retractions. Reviews and works… more
- Catholic Health Services (West Islip, NY)
- …not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals , Managed Care and Revenue Cycle and Patient Access departments to ensure ... required. + Current knowledge of NY Department of Health and Centers of Medicare and Medicaid regulations is required. + Knowledge of Joint Commission Standards, and… more
- Baylor Scott & White Health (Albany, NY)
- …leadership, and senior medical staff including denials from all payers, Medicare /Medicaid audit activities and key contract enforcement activities. + Collaborates ... (CBS) and other revenue cycle departments to streamline referral and appeals workflows. + Supports education and training initiatives to improve documentation… more
- Community Missions of the Niagara Frontier (Niagara Falls, NY)
- …to help residents access public assistance programs including SNAP, Medicaid/ Medicare , housing subsidies, and Social Security. Responsibilities include assessing ... eligibility, assisting with applications and appeals , and collaborating with staff to ensure residents receive the benefits they need. Ideal candidates have… more
- FlexStaff (New York, NY)
- …accurately submit claims to both private and public insurance carriers, including Medicare , Medicaid, and commercial plans. * Investigate and resolve denied or ... unpaid claims, handling appeals , resubmissions, and necessary corrections. * Analyze denial trends and offer feedback and suggestions for process improvement. *… more