- Weill Cornell Medical College (New York, NY)
- Title: Revenue Cycle Specialist -Revenue Integrity Location: Midtown Org Unit: AR - Coding Medicine Work Days: Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary ... 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) is required. + Should be certified from… more
- 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 (Hawthorne, NY)
- Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Ophthalmology ... Internal Applicant link Job Details: Job Summary: The Authorization Specialist is responsible for performing complex clerical procedures related to… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Procedural Billing Specialist I is responsible for multiple components of the complex billing and coding process for specialized procedures, ... accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to...payments in IDX. Runs and works missing charges, edits, denials list and processes appeals. Posts denials … more
- 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
- Northeast Family Services (New Rochelle, NY)
- Northeast Family Services is currently seeking a Billing Specialist to join their growing team! NFS is an established and growing organization with locations in 9 ... in-person, or in-home. We are currently looking for a passionate and dedicated Billing Specialist to join our team. The Billing Specialist is responsible for… more
- 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
- Mount Sinai Health System (New York, NY)
- …Description** Follows up with third party and patients regarding payments, claims, denials , etc. **Qualifications** + HS. Diploma/GED. + 2-3 years of professional ... + Follows-up on all third party receivable activities, self-pay claims, and denials + Posts, reviews, and follows up on all correspondence from carriers… more
- Project Renewal, Inc. (Bronx, NY)
- Housing Specialist Shelter- Ana's Place, 4380 Bronx Blvd, Bronx, New York, United States of America Req #1205 Thursday, August 22, 2024 Title: Housing Specialist ... updates the tracking system for submitted applications, interviews, and selections or denials . Performs follow-up to any denial of housing applications submitted to… 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
- HSS (New York, NY)
- …can be part of our transformation across the enterprise Outpatient CDI Specialist Full-Time JOB SUMMARY: The Ambulatory CDIS facilitates modification to clinical ... missing or incomplete documentation. + Work with registration to identify preauthorization denials for opportunities to correct codes on the front end before patient… more
- TEKsystems (Melville, NY)
- …CDM and Informatic Staff. + Responsible for resolving any coding related errors and denials that are identified by the Hospital's billing system as a part of the ... revenue enhancement initiatives or errors assigned by designated work queues. + Performs other incidental and related duties as required and assigned. Skills and Knowledge: * Outpatient Medicare and Medicaid coding and billing regulations * All components of… more
- Nuvance Health (Danbury, CT)
- *Description* Summary: Identifies and communicates the clinical denials in a timely manner in collaborationand working closely with the physical advisors, Clinical ... Denial Specialist nurses, Case managers, Case Management Operation Coordinators, and...Reviews denial letters through daily mail. 3. Identifies retro denials and documents appropriately. 4. Notifies new retro … more
- WMCHealth (Valhalla, NY)
- …related work as required. Responsibilities: + Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. + Interprets and applies ... automated grouper system. + Compiles and updates the appeal log detailing denials , hospital's reply and follow-up responses. + Provides information and responds to… more
- Banner Health (New York, NY)
- …for timely resolution of charge capture related edits and charge capture related denials . Partners with other units within Banner for edit resolution. Will serve as ... coding system as well as charge related edits and denials in the billing system. 3. Identifies edit trends...coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred… more
- Weill Cornell Medical College (New York, NY)
- …appropriate. + Identifies trends in revenue cycle activities, including payments, denials , billing, coding and/or documentation errors. Recommends actions plans to ... + Certified Professional Coder Certificate (CPC) or Certified Coding Specialist -Physician Based (CCS-P) required. + Certified Professional Medical Auditor (CPMA),… more
- Outreach Development Corporation (Brentwood, NY)
- …with the agency's insurance specialists on any insurance related matters, such as denials or authorizations. + Send invoices to clients with outstanding balances for ... challenges arise. Collaborates with: VP of Finance Controller Billing Specialist Unit Directors Intake Coordinators/Clinicians Qualifications: Minimum of High School… more