- Excellus BlueCross BlueShield (Rochester, NY)
- …or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing ... Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case load as… more
- Bassett Healthcare (Hamilton, NY)
- …positive tone, words and actions. Will meet patient needs as observed by Supervisor and as reported on patient satisfaction surveys. + Ensures new patients are ... documentation. + Raises up emergent situations or expressed patient problems directly to Supervisor or Supervising Nurse for assistance as observed by Supervisor … more
- Bassett Healthcare (Little Falls, NY)
- …+ Raises up emergent situations or expressed patient problems directly to Supervisor or Supervising Nurse for assistance. + Answers phones within 3 rings ... we can do for them today as observed by Supervisor and as noted in compliance reports. + Takes...system audit + Accurate confirmation of attending PCP and Billing PCP, when appropriate. + Assures correct data capture… more
- Bassett Healthcare (Oneonta, NY)
- …positive tone, words and actions. Will meet patients' needs as observed by Supervisor and as reported on patient satisfaction surveys. + Ensures new patients are ... documentation. + Raises up emergent situations or expressed patient problems directly to Supervisor or Supervising Nurse for assistance as observed by Supervisor … more
- University of Rochester (Rochester, NY)
- …providing guidance and direction for staff in the absence of a supervisor , resolving simple and complex questions and providing performance feedback to supervisors ... and managers. Supports some aspects of billing office operations, including basic principles of staff management/supervision. **LOCATION** + Rochester Tech Park… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …or TSSLD). Limited license may be required for CFY candidates (directly billing Medicare ). ASHA certification preferred. Essential Job Functions: + Physical ... the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and… more
- Ellis Medicine (Schenectady, NY)
- …and reconciliation duties in Sorian Financials and reconcile deposit slips. + Review Billing Exception Report for Revenue Management, the Medicare system (FISS), ... Must have knowledge of medical records, medical terminology and billing requirements, CPT, HCPCS and ICD-9 coding and be...for data entry errors and make corrections. Notify the supervisor when a system error occurs. Log and forward… more
- Arnot Health (Elmira, NY)
- …receive the maximum reimbursement that is allowable. 9. Demonstrates knowledge of Medicare requirements for approved ICD-9 codes and to communicate to the provider ... when a code is not approved, and knowledge of Medicare waivers. 10. Demonstrates the ability to accurately pre-authorize / pre-certify patients exams for all… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …RESPONSIBILITIES Under the general supervision of the Intake & Recruitment Supervisor , the Intake Specialist is responsible for processing referrals received from ... This role requires a strong understanding of homecare regulations related to Medicare , Medicaid, and other insurance programs. The Intake Specialist will collaborate… more
- New York State Civil Service (Middle Island, NY)
- …on operational need.* Conduct on-site reviews of documentation to monitor billing compliance.* Additional responsibilities as assigned by supervisor .* Travel ... Plan meetings are conducted and services are coordinated. * Follow up on billing discrepancies, prepare documents for audits and claims reviews.* Caseload may change… more