- BronxCare Health System (Bronx, NY)
- …claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff on Insurance ... includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality… more
- BronxCare Health System (Bronx, NY)
- Job LocationsUS-NY-Bronx ID2025-5671 Category Administrative/Clerical Position Type Regular Full-Time Division Bronxcare Hospital Center - Concourse Shift Day Shift ... Department : Name Patient Financial Services (BHCS) more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay. This… more
- CUNY (New York, NY)
- Cybersecurity Engineer (IT Security Specialist 3) - Provisional **GENERAL DUTIES** This position encompasses professional and responsible technical consultative ... go tohttp://www.cuny.edu/about/administration/offices/hr/classified-civil-service/ccsjobs/and view the Job Description for **IT Security Specialist .** **CONTRACT TITLE** IT Security Specialist **FLSA**… more
- Nuvance Health (Danbury, CT)
- …Shifts Available- Days, Evenings, Nights available* *Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately ... the lack of a review may result in a denial , escalate to the appropriate Provider/VPMA. * Identify and...and communicating on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting… more
- Mount Sinai Health System (New York, NY)
- …processes appeals. Posts denials in IDX on a timely basis. + Provides comprehensive denial management to facilitate cash flow. Tracks, quantifies and reports on ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...and outpatient diagnoses and procedures. + Meets with practice management , leadership and/or physicians on a scheduled basis to… more
- Colgate-Palmolive (New York, NY)
- …let's build a brighter, healthier future for all. The Leave Administration Specialist (Contract) reports to the Leave Administration Manager and supports the Manager ... will have a strong background in absence administration and disability management . Responsibilities: Leave of Absence Administration: + Vendor Collaboration: Partner… more
- Nuvance Health (Danbury, CT)
- …Responsible for the assigned areai? 1/2s claims submission, payment application, denial management , and account follow-up to ensure optimal reimbursement. ... 6. Adjusts account balances to specific account needs. 7. Maintains Contract Management reporting (ie, payment errors, carve out billings) and updates any… more
- Molina Healthcare (Yonkers, NY)
- …appeals to the next level for review. * Generates and mails denial letters. * Provides support for interdepartmental issues to help coordinate problem-solving ... education and experience. * Customer service experience. * Organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- Molina Healthcare (Yonkers, NY)
- …on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * Identifies and reports ... be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and member/provider inquiries/appeals. * Provides… more
- City of New York (New York, NY)
- …is responsible for the organization, direction and supervision of the Case Management , Case Establishment, and the Case Support units which facilitate eligibility ... (FIA) is recruiting for one (1) Administrative Job Opportunity Specialist NM I, to function as Benefit Access Center...ensuring that Agency's requirements are met for opening, reopening, denial , closing, change in case status and change in… more