- Saratoga Hospital (Saratoga Springs, NY)
- …Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working with ... Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial ServicesLocation: Massena HospitalHours Per Week: 40Schedule: Monday - Friday ... 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the...+ Medical Billing Expertise: Proficient in billing, claims processing ( Inpatient , Outpatient, Critical Access, Rural Health), denials … more
- Cognizant (Albany, NY)
- …advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process includes ... analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member.... Epic experience . Experience in drafting appeals disputing inpatient clinical validations audits is a plus. We're excited… more
- Northwell Health (Melville, NY)
- …Review, Case Management, and Clinical Appeals. 3-5 years of acute inpatient clinical experience. Experience with MCG guidelines. Experience with Epic. Additional ... Salary Detail** The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… more
- Catholic Health (Buffalo, NY)
- …based on role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, carrying out and ... limited to clinical documentation/support for diagnostic related grouping (DRG) assignment, inpatient and outpatient medical necessity. The individual also works to… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on ... share knowledge and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit in accomplishing all aspects of… 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
- 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 ... appeals, follow-up, financial assistance and customer service. **Duties of a Revenue Specialist may include the following, but are not limited to:** + Prepare… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... health care or insurance environment preferred **Responsibilities** 1. Enters office, inpatient , and/or outpatient charges with accurate data entry of codes. Ensures… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The Senior ... Billing Specialist is responsible for multiple components of the billing...insurance and registration data for scheduled office, outpatient, and inpatient encounters and scheduled surgeries; reviews encounter forms for… more