- WMCHealth (Hawthorne, NY)
- Denials Manager Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Professional/Non-Clinical Department: Business Office Union: No ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28373) Internal Applicant link Job Details: Job Summary: The Denials Manager 's responsibilities include identifying all … more
- Hackensack Meridian Health (Hackensack, NJ)
- …with appropriate Revenue Cycle leaders and makes recommendations to prevent future denials and payment variances. Disciplines include but are not limited to Patient ... includes: + Participates & Reports on Weekly Graph & Workflow meetings on Denials trending for the Network. Identifies and performs root cause analysis of high… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Revenue Cycle Manager reporting to the Senior Director of CBO Operations, is responsible for directing and coordinating the ... overall AR follow up and denials management with a specialty specific focus. This includes...with department staff and providers to provide information/feedback on claims/ denials to ensure optimal AR management. Analyzes Department metrics… more
- BronxCare Health System (Bronx, NY)
- Overview Assists in the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care ... and (d) Patient and Customer Service. - Reviews and denials notification letters along with the medical records and...improve outcomes. - Maintains an excel log related to denials /appeals activities in order to monitor successful appeals. -… more
- RWJBarnabas Health (Newark, NJ)
- Case Manager (RN) Case Management Full Time DayReq #:0000167349 Category:Nurse Case Manager Status:Full-Time Shift:Day Facility:Newark Beth Israel Medical Center ... + The Registered Nurse is an individual practitioner and the interdisciplinary team manager , utilizes the nursing process to integrate all aspects of the provision… more
- Truecare Homecare Agency (Brooklyn, NY)
- …care. Position Title: Medical Billing Representative Reports To: Billing Department Manager Job summary: The Billing Representative creates, reviews and processes ... for improved timing and efficiencies. He/she follows up on all claim denials and ensures payment for billed services. Responsibilities include: + Conduct weekly… more
- Amgen (White Plains, NY)
- …alongside other innovative, driven professionals in this meaningful role. **Tavneos Account Manager ** **Live** **What you will do** Let's do this. Let's change the ... world. We are seeking an Account Manager (AM) to complete commercial activities for the assigned geography and establish relationships with customers to drive demand… more
- Huron Consulting Group (New York, NY)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... firm setting with a focus on hospital or physician revenue cycle, denials management, or patient access services + Seeking specific experience implementing or… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …note, this link is only accessible for MSK employees. Job Description RN Case Manager , Inpatient | New York, NY Exciting Opportunity at MSK:Are you passionate about ... will be responsible for evaluating and responding to clinical and administrative denials referred to Case Management Department for appeal. You will participate in… more
- Mount Sinai Health System (New York, NY)
- …Specialist works directly with the Department Administrator. Reports to Billing Manager /Revenue Cycle Manager . **Qualifications** + Associates Degree preferred + ... payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials ...+ Mentors less experienced billing staff and assists Billing Manager /Revenue Cycle Manager in staff training. +… more
- Hackensack Meridian Health (Teaneck, NJ)
- …all letters of medical necessity, record requests from insurance companies. + Review denials and communications from MCX as needed. + Runs and reviews revenue cycle ... for all account receivable. + Prepares Bank Deposit as directed by practice manager . + Assists office manager with clinical insurance requirements. + Posts… more
- CAIPA MSO LLC (New York, NY)
- …follow-up of outstanding claims payments. + Denial Management to include payer denials and denial solutions. + Use interpersonal and communications skills to obtain ... bodies + Other duties as assigned by the Office Manager , Billing Manager , and/or Leadership team MINIMUM...MINIMUM QUALIFICATIONS + 2+ years of experience in claims denials , rejections and appeals. + Excellent communication and customer… more
- Mount Sinai Health System (New York, NY)
- …in accordance with policies and procedures. + May run and work missing charges, edits, denials list and process appeals. Posts denials in IDX on a timely basis. ... billing concerns. + Mentors less experienced Billing staff and assists Billing Manager /FPA Manager in training new staff. + May approve EPIC work queue for… more
- WMCHealth (Suffern, NY)
- …a timely, efficient manner to prevent treatment delays and to avoid denials from third party payers and maintains confidentiality of patient information. ... diagnosis needed for Authorizations. + Advises physicians, Oncology RN's, Billing manager and practice Administrator of problems with insurance authorizations and… more
- Mount Sinai Health System (Elmhurst, NY)
- …timely and complaint manner. Work with the Faculty Practice Group Compliance Manager and Administrator to ensue all FPG revenue is captured. **Qualifications** ... and/or meet with physicians regarding documentation and deficiencies. Review edits, denials and requests for additional information from the accounts receivable team… more
- Hackensack Meridian Health (Hackensack, NJ)
- …updates needed for payors. 10. Enters all documentation into EPIC systems for denials / lower level of cares. 11. Contacts insurance company for benefit coverage and ... documents. 16. Performs other clerical support duties as delegated by the Administrator, Manager (s), CC 17. As requested by CC schedules transport from HUMC to… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Clarifying ambiguous or conflicting documentation e. Target DRGs Reviews f. Use of case manager as a resource + Uses guidelines to evaluate patient status based on ... initiatives j. Develop strategies across all functional departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent… more
- Hackensack Meridian Health (Hackensack, NJ)
- …ambiguous or conflicting documentation** **iv. Target DRGs Reviews** **v. Use of case manager as a resource** **4. Uses guidelines to evaluate patient status based ... **j. Develop strategies across all functional departments to reduce clinical denials by:** **I. Peer-to Peer (P2P) Concurrent appeals** **ii. Written Concurrent… more
- Mount Sinai Health System (New York, NY)
- …Street, Full-Time -Days** Under the supervision of the Patient Financial Supervisor/ Manager , performs a variety of patient accounting functions, including but not ... + Bill claims to third party payers either electronically or manually. + Corrects denials and re-bills accounts through PFS Systems. + Posts all manual charges into… more
- Mount Sinai Health System (New York, NY)
- **Job Description** This position works under the supervision of the Practice Manager . It is responsible for making sure all appointment registrations and insurances ... plays a major role in decreasing the department's authorization and referral denials . **Qualifications** + Associates Degree in Secretarial Science or related field,… more