- 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
- Access: Supports For Living (Middletown, NY)
- …the organization, including working with appropriate programs, front desk staff, remit, denial management and insurance verifications areas to aid in the ... Specialist is a key position in the financial management of the company. The Senior Billing Specialist...cycle areas to support and back-up the remit and denial management functional areas Required Skills/Abilities: +… more
- Trinity Health (Syracuse, NY)
- …insurance updates prior to procedure, and supporting authorization and denial processes. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified ... Coding Specialist , Accredited Record Technician (or eligible), Registered Record Administrator...systems to accurately Code diagnoses, procedures and evaluation and management , in compliance with hospital policy/procedures and industry standards.… more
- Datavant (Albany, NY)
- …experiences to realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health ... Medical Director as needed to facilitate timely authorizations and/or denial reversals + Maintain and keeps in total confidence,...as it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …of medical claims-from charge entry and claim submission to payment posting, denial management , and patient billing. Duties and Responsibilities + Demonstrate ... Job Summary The Billing Specialist plays a critical part in maintaining the...account discrepancies preferred. + Demonstrated attention to detail, time management , and organizational abilities. + Effective interpersonal and communication… 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
- Saratoga Hospital (Saratoga Springs, NY)
- HIS Denials Specialist (Inpatient) Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: 8a-4p ... the Role We're looking for a dedicated HIS Denials Specialist to join our team and help us continue...with HIS Coders, payers, Department Directors, Clinical Managers, Case Management , Patient Access, and PFS What You'll Do +… 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
- Uniti (Fulton, NY)
- …** ** **About the Role:** As a Residential Door to Door Sales Specialist , you will be responsible for directly engaging with potential residential customers at ... hands-on experience about the job. Our extensive Learning & Development and Management programs ensure continuous support and career growth throughout your journey.… more
- Molina Healthcare (Rochester, 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
- Rochester Regional Health (Rochester, NY)
- …underpaid by third party payers and to resolve the issues resulting in denial /underpayment and to formally appeal. The specialist will conduct comprehensive ... SUMMARY The C & D specialist is responsible for reviewing accounts which have...reimbursement issues, work within Meditech and Emdeon to identify denial trends as well as be responsible for locating… more
- University of Rochester (Rochester, NY)
- …in EPIC + Works in assigned EPIC follow up workqueue(s). + Review reason for claim denial - reason code or denial codes in EPIC. + View Payer Website link ... and clarify billing issues, payment variances and/or trends that require management intervention; share with Supervisor and/or Manager. Assist Supervisor with credit… more
- New York State Civil Service (Albany, NY)
- …12205 Duties Description Under the direction of the Information Technology Specialist 3, within the Chief Technology Office, Enterprise Network Solutions-Business ... variety of duties related to the business and technical aspects of telecom management .Telecom Account and Invoice Management * Assist in managing the lifecycle of… more
- CDPHP (Latham, NY)
- …multiple product lines while successfully applying problem solving and time management methodology, balancing multiple tasks as business needs arise while ... and quality standards and adhering to prompt pay regulations. The specialist will address and resolve service-related issues including claim adjustment requests,… more
- Molina Healthcare (Buffalo, 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