- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Specialist -Revenue Integrity (Remote) Location: Midtown Org Unit: AR - Coding Medicine Work Days: Exemption Status: Non-Exempt Salary Range: ... Coder to investigate and resolve coding related insurance payment denials . The CBO partners with WCM Clinical Departments to...as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). + Should be certified from AHIMA or… more
- The Mount Sinai Health System (New York, NY)
- …quality issues Responsible for the maintenance of accurate data for approvals, denials and appeals (in coordination with UM Manager and management). Prioritizes ... insurance Request/ Denials when received in the department as per protocol;...protocol; Responds to Insurance requests for information to prevent denials /recover payment. Requests or provides Medical Records as required… more
- WMCHealth (Valhalla, NY)
- Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Neurology Union: ... Internal Applicant link Job Details: Job Summary: The Authorization Specialist is responsible for performing complex clerical procedures related to… more
- WMCHealth (Hawthorne, NY)
- Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Multispecialty ... Internal Applicant link Job Details: Job Summary: The Authorization Specialist is responsible for performing complex clerical procedures related to… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Procedural Billing Specialist III is a senior level individual, responsible for multiple components of the billing process for specialized or ... and/or outpatient charges. Runs and works missing charges, edits, denials list and processes appeals. Posts denials ...edits, denials list and processes appeals. Posts denials on a timely basis. + Provides comprehensive denial… more
- Ultimate Care Inc (Brooklyn, NY)
- Ultimate Care in Brooklyn, NY is looking for a Billing & Collections Specialist to join our team! The Billing & Collections Specialist will be responsible for ... resolve any billing discrepancies. As a Billing & Collections Specialist at Ultimate Care , you will play a...policies. + Appeals: Manage and respond to Medicare claim denials and file appeals when necessary. What we expect… more
- The Mount Sinai Health System (New York, NY)
- …and captured. 4. Ensures that documentation supports charges to prevent denials /underpayments and to ensure adherence to compliance standards. 5. Follow-up on ... updates. 12. Responsible for resolving any coding related errors, edits and denials that are identified by the physician practices or practice billing system.… more
- The Mount Sinai Health System (New York, NY)
- …outpatient charges. 10. Posts all payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials in IDX on a timely ... basis. 11. Provides comprehensive denial management to facilitate cash flow. Tracks, quantifies and reports on denied claims. 12. Directs and assists with responses to problems or questions regarding benefit eligibility and reimbursement procedures. 13.… more
- Educational Alliance, Inc. (New York, NY)
- …and civic engagement. The Role: Reporting directly to the Billing Manager, the Specialist will perform billing functions for the Center for Recovery and Wellness ... on Issue Tracker, identify and resolve billing issues, and follow up on denials if required + Review Service documentation and Billing files for accuracy and… more
- Help at Home (Brooklyn, NY)
- …serving people and the communities we are part of._ **Job Summary:** The RCM Specialist , AR reports to the RCM Manager. This position performs general data entry, ... with payor requirements and agency policy. + Receives notices of claim rejections & denials . + Properly track and resolve issues to ensure claim payment. + Maintains… more
- Outreach Development Corporation (Queens, NY)
- …daily and swiping cards using the Medicaid machine. + Reporting any benefit denials to appropriate staff. + Maintaining an efficient and understandable filing system ... weekly spot audits of client charts. + Ensuring that the reimbursement specialist accurately input client insurance information into the IMA system. + Providing… more
- The Mount Sinai Health System (New York, NY)
- …the patient's treatment have been applied to the claim. **RESPONSIBILITIES** 1. Analyzes denials and determines when an appeal should be filed to the payor. ... with the MS Health Systems Physician Advisor and HIM team to review denials and coordinate the appeal process. As front-line auditor, reviews cases denied and… more
- Hackensack Meridian Health (Neptune, NJ)
- …areas of scheduling, registration, referrals, and Inpatient and Outpatient authorization/ denials management in their assigned area/hospital(s) at Hackensack Meridian ... Health (HMH). Responsible for researching and analyzing denials . Identifies root cause, trends and patterns and provides...is not available or not entered by Patient Access Specialist at time of registration to again mitigate loss… more
- Hackensack Meridian Health (Paramus, NJ)
- …healthcare and serve as a leader of positive change. The Patient Access Specialist , Oncology provides assistance to patients, Physicians, caregivers in all areas of ... A day in the life of a Patient Access Specialist for Oncology with Hackensack Meridian Health includes: +...prior authorizations when needed in order to avoid technical denials for lack of prior authorization. Understand if payer… more
- The Mount Sinai Health System (New York, NY)
- …medical records for coding, DRG, and quality reviews 12.Reviews all potential DRG denials and responds to the PRO and insurance companies within required timeframes ... requirements associated with coding and DRG assignment. + Certified Coding Specialist (CCS) required + Registered Health Information Technician (RHIT) required… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... initiatives j. Develop strategies across all functional departments to reduce clinical denials by: I. Peer-to Peer (P2P) ? Concurrent appeals ii. Written Concurrent… more