• Managed Care Billing

    The New Jewish Home (Bronx, NY)
    The Finance Department in Waters Place, Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care ... Specialist is responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must... billing is required + Must Understand Medicare, Managed Care , Medicaid (NY) billing more
    The New Jewish Home (08/24/24)
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  • Medical Office Specialist (Certified…

    Mount Sinai Health System (New York, NY)
    …information utilizing internal or electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as necessary ... **Job Description** **Medical Office Specialist (Certified Medical Assistant)-Adult Primary Care ...third party payer eligibility requirements for private and hospital billing + Utilizes and understands basic medical terminology; able… more
    Mount Sinai Health System (11/10/24)
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  • Administrative Specialist 1, Administrative…

    New York State Civil Service (Bronx, NY)
    NY HELP Yes Agency Education Department, State Title Administrative Specialist 1, Administrative Specialist Trainee 1, Administrative Specialist Trainee 2, ... the open-competitive minimum qualifications for this position. The qualifications are:Administrative Specialist Trainee 1 (NS, Equated to SG-13):* A bachelor's or… more
    New York State Civil Service (11/08/24)
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  • Revenue Cycle Specialist -Revenue Integrity…

    Weill Cornell Medical College (New York, NY)
    …a timely manner. + Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors. + Participates in annual and ... Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR...services billed and all documentation standards are met for billing . + Analyze for invalid denial trends, payer specific… more
    Weill Cornell Medical College (11/08/24)
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  • Claims Specialist

    CenterLight Health System (Flushing, NY)
    …Experience: Eight or more years of insurance experience within a healthcare or managed care setting (preferred) Claims adjudication experience Knowledge of MLTC/ ... JOB PURPOSE: The Claims Specialist will support department operations related to provider...with providers as appropriate to assist in communicating proper billing procedures and to explain company coverage guidelines +… more
    CenterLight Health System (10/15/24)
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  • Revenue Cycle Specialist -A/R

    Weill Cornell Medical College (New York, NY)
    …and procedures. + Maintains up-to-date policies and procedures and knowledge related to managed care and third party payors. + Reviews and submits refund ... Title: Revenue Cycle Specialist -A/R Location: Midtown Org Unit: AR - Coding...rate. + Resolves claim edits within the practice management billing system to ensure successful claim submission. + Assists… more
    Weill Cornell Medical College (11/14/24)
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  • Hedis Specialist

    TEKsystems (New York, NY)
    …medical record data abstraction requirements * An emphasis in Medicare or Medicaid/Medi-Cal managed care Skills: Hospital billing , Ambulatory, audit, ... , medical charts, data abstraction Top Skills Details: Hospital billing ,Ambulatory,audit, managed care ,medical charts,data abstraction Additional Skills… more
    TEKsystems (11/02/24)
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  • Entitlement Specialist

    Acacia Network (Bronx, NY)
    …Minimum 2 years of experience in HRA Public Assistance, Food Stamp, Medicaid, managed care plans, Supplemental Social Income (SSI), Social Security Disability ... Third Party Billing Entitlement Specialist Bronx, NY : 2/12/2024 Job Description Job ID#: 3795 Job Category: Third Party Billing Position Type: Full Time… more
    Acacia Network (11/11/24)
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  • Medical Office Specialist - Radiology…

    Mount Sinai Health System (New York, NY)
    …information utilizing internal or electronic sources. 25. Obtains and documents managed care referrals, required pre-certifications and authorizations as ... **Job Description** The Medical Office Specialist offers clinical and medical office support to...office support to physicians and surgeons. Assists in patient care and administrative duties necessary to deliver quality patient… more
    Mount Sinai Health System (11/09/24)
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  • Offsite Medical Office Specialist -Medicine…

    Mount Sinai Health System (New York, NY)
    …information utilizing internal and electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as ... **Job Description** + The Medical Office Specialist offers clinical and medical office support to...office support to physicians and surgeons. Assists in patient care and administrative duties necessary to deliver quality patient… more
    Mount Sinai Health System (11/07/24)
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  • Appeals and Authorization Specialist

    Catholic Health Services (Melville, NY)
    …KNOWLEDGE Maintains knowledge of requirements by third party payers, regulatory agencies, and managed care entities concerning levels of care , continuity of ... DUTIES Review all authorization denials entered into the EPIC billing system. Update any authorizations that were either not...benefits and medical necessity guidelines. Knowledge of managed care and the current standards and… more
    Catholic Health Services (11/14/24)
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