- Healthfirst (NY)
- …as: certain types of claim denials, member complaints, and member and provider appeals . The end-to-end process requires the Specialist to independently:** + ... within a framework that measures productivity and quality for each Specialist against expectations** + **Work independently exercising judgment starting the case… more
- Northwell Health (Melville, NY)
- …current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness ... and intensity of services provided. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not… more
- Molina Healthcare (Buffalo, NY)
- …**Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances, and/or complaints from Molina members, providers, and ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals … more
- Akin Gump Strauss Hauer & Feld LLP (New York, NY)
- …Billblast, correspond with billing teams to rectify issues. + Alert the Billing Specialist for timely resubmission/for appeals on the adjustments. + Assist the ... and the Middle East. We are currently seeking an E-Billing Compliance Specialist in the Finance department, reporting to the Client Administration and Compliance… more
- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... business functions including but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue… more
- Helio Health Inc. (Syracuse, NY)
- Overview To support the mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up on accounts receivable and ... as required to accomplish medical billing for Helio Health. The Billing Specialist will work Full-Timeto support our Revenue Cycle Management team. This position… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, ... to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager/Revenue… more
- Robert Half Accountemps (Port Washington, NY)
- Description We are looking for a detail-oriented Medical Billing Specialist to join our team! In this position, you will play a pivotal role in ensuring the accuracy ... strong communication skills and the ability to handle complex insurance claims, appeals , and patient inquiries. Responsibilities: * Review denied medical claims and… more
- Truecare Homecare Agency (Brooklyn, NY)
- …and caregivers experience the most excellent care. Position Title: Authorizations Specialist Location: Full-time Monday-Friday 9 am-5 pm onsite in Brooklyn, NY ... Position summary: The Authorizations Specialist handles all aspects of authorizations for patient services...centralized location + Participate in data retrieval for claims appeals and requests for payment + Liaison between the… more
- Shinda Management Corporation (Queens Village, NY)
- Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in the ... community by redefining affordable housing. Description SMC is seeking a Compliance Specialist to join our compliance department. Under the supervision of the Manger… more
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