• Clinical Denials & Appeals

    Northwell Health (Melville, NY)
    …stay. Ensures compliance with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately ... as needed. + Prior experience in Case Management, Utilization Review, and Appeals / Denials , highly preferred. *Additional Salary Detail The salary range and/or… more
    Northwell Health (12/19/24)
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  • Revenue Cycle Specialist -Revenue Integrity…

    Weill Cornell Medical College (New York, NY)
    …a Certified Professional Coder to investigate and resolve coding related insurance payment denials . The CBO partners with WCM Clinical Departments to increase ... Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR...for their root causes thereby driving efficiencies, to include clinical documentation improvement and coding denials prevention.… more
    Weill Cornell Medical College (12/25/24)
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  • Utilization Management Specialist -MSH-Case…

    Mount Sinai Health System (New York, NY)
    …facilitates and tracks concurrent adverse determinations and collaborates with Appeals Management Department in managing retrospective denials . ... **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position...Days** This position is responsible for coordinating requests for clinical information from third party payers and providing support… more
    Mount Sinai Health System (11/14/24)
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  • Onsite Procedural Billing Specialist III…

    Mount Sinai Health System (New York, NY)
    …entry of office, inpatient, and/or outpatient charges. Runs and works missing charges, edits, denials list and processes appeals . Posts denials on a timely ... **Job Description** The Procedural Billing Specialist III is a senior level individual, responsible for multiple components of the billing process for specialized or… more
    Mount Sinai Health System (12/09/24)
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  • Billing/Insurance Collections Specialist

    CAIPA MSO LLC (New York, NY)
    …and/or Leadership team MINIMUM QUALIFICATIONS + 2+ years of experience in claims denials , rejections and appeals . + Excellent communication and customer service ... Billing/Insurance Collections Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description We are looking for an… more
    CAIPA MSO LLC (10/11/24)
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