• Denials Manager

    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
    WMCHealth (01/17/25)
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  • Nurse Case Manager - Full Time, Days

    Nuvance Health (Poughkeepsie, NY)
    …Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery of effective ... are a priority and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor...possible. 5. Supports the effective prevention and management of denials , including providing information as part of the appeal… more
    Nuvance Health (01/26/25)
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  • Authorization Specialist

    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
    WMCHealth (01/16/25)
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  • Revenue Cycle Specialist II

    The Institute for Family Health (New Paltz, NY)
    …procedures for that area. + Reviews all correspondence on a daily basis for denials and short paid claims. + Reviews and processes all Explanation of Benefits for ... accounts. + May be tasked to post payments and denials for designated accounts upon receipt. + Performs work...communicates such information in a timely manner to their manager for escalation. + Maintains familiarity with the Institute… more
    The Institute for Family Health (12/18/24)
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  • Certified Coder

    Community Medical and Dental Care Inc (Monsey, NY)
    …+ Bill encounters + All unbillable encounters should be coordinated through the Billing Manager to obtain missing information + Rebill denials with a focus on ... collections + Perform A/R collection function + Verify insurance coverage and makes any necessary corrections in Allscripts + Identify missing encounter forms as well as missing information which includes missing ICD9 and CPT codes + Run daily reconciliation… more
    Community Medical and Dental Care Inc (02/01/25)
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