- Syracuse Community Health Center (Syracuse, NY)
- POSITION SUMMARY: The denials management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic ... healthcare billing, coding, and insurance policies to identify root causes of denials , appeal incorrect decisions, and implement strategies to minimize future … more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial ServicesLocation: Massena HospitalHours Per Week: 40Schedule: Monday - Friday ... 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the...billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials management , and knowledge of medical terminology,… more
- Datavant (Albany, NY)
- …+ Minimum 3-5 years of experience in healthcare revenue cycle with focus on denials management . + Strong knowledge of the entire revenue cycle including ... serves as a key liaison between coding, billing, utilization review, case management , and payer relations to reduce denials and improve revenue leakage.… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... collaborate with payers, providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join...system issues, or user errors, and report findings to management . + Contribute to team development by assisting in… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement ... documentation improvement, Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient… more
- Cognizant (Albany, NY)
- …make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. ... The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member of the Cognizant team… more
- Catholic Health (Buffalo, NY)
- …on role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, carrying out and ... between parties. This individual provides clinical oversight to the clinical denials team, ensuring payer contracts are being appropriately followed by all… more
- Northwell Health (Melville, NY)
- …standard and regulations. Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews ... as needed. Preferred Skills 3-5 years experience in Utilization Review, Case Management , and Clinical Appeals. 3-5 years of acute inpatient clinical experience.… 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 ... - MSH, Mount Sinai Hospital **Responsibilities** 1. **Admission: Payer Authorization & Denials Management .** Communicate with payer to obtain request for… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Utilization Review Specialist (RN) Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 Hours (Full-Time) ... Schedule: Monday - Friday, Days SUMMARY:The Utilization Review Specialist actively participates in the utilization management of patients and evaluating hospital… more
- North Country Family Health Center (Watertown, NY)
- Revenue Cycle Management (RCM) Specialist Watertown, NY (http://maps.google.com/maps?q=238+Arsenal+Street+Watertown+NY+USA+13601) Job Type Full-time Description ... and remedy initial claim errors, working collaboratively with billing, coding, and denial management teams. The RCM Specialist must be knowledgeable in Medicare,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist MSH PT Days 4/Days Week (Days Vary) 8a-1p with Every Weekend** To maintain front end operations of the Case Management ... Excel and Word + Strong Communication skills Non-Bargaining Unit, BGG - Case Management - STL, Mount Sinai St. Luke's **Responsibilities** + Demonstrates the ability… more
- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... appeals, follow-up, financial assistance and customer service. **Duties of a Revenue Specialist may include the following, but are not limited to:** + Prepare… 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
- Mohawk Valley Health System (Utica, NY)
- Pharmacy Revenue Cycle Specialist - Full Time - Days Department: 340B CONTRACT PHARMACY Job Summary The Pharmacy Revenue Cycle Specialist supports comprehensive ... with pharmacy, finance, IT, and compliance teams to monitor data, address denials , and support pharmacy revenue operations and audits across the enterprise. Core… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The Senior ... Billing Specialist is responsible for multiple components of the billing...procedures. + May run and work missing charges, edits, denials list and process appeals. Posts denials … more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... entry. 6. May run and work missing charges, edits, denials list and process appeals. Posts denials ...credentialing issues for department physicians. 15. Meets with practice management , leadership and/or physicians on a scheduled basis to… more
- BronxCare Health System (Bronx, NY)
- …includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality ... Health System (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies...increase revenue and improve cash flow by reducing payment denials and system bill holds. Bill Hold Tracker to… more
- Stony Brook University (Stony Brook, NY)
- Financial Clearance Specialist - Cancer Center **Position Summary** The **Financial Clearance Specialist ** is responsible for ensuring that payers are prepared ... contracts. When physicians and clinicians make care decisions, the Financial Clearance Specialist is aware of how a patient's benefits fit into the care… more
- Independent Health (Buffalo, NY)
- …Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), Certification Denials and Appeals ... fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on… more