- 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
- 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
- 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 (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
- 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
- Hackensack Meridian Health (Hackensack, NJ)
- …j. Develop strategies across all functional departments to reduce clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the...and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC.… more