- 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: ... About the Role We're looking for a dedicated HIS Denials Specialist to join our team and...and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial Services Location: SLH - Regional Administrative Campus Hours Per Week: 40 ... Schedule: 8am-4pm SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the...+ Medical Billing Expertise: Proficient in billing, claims processing ( Inpatient , Outpatient, Critical Access, Rural Health), denials … more
- Datavant (Albany, NY)
- …a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with clinical criteria ... vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health...Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission.… more
- WMCHealth (Valhalla, NY)
- Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC ... Internal Applicant link Job Details: Job Summary: The Senior Inpatient Coder is responsible for addressing appeals to insurance companies… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... Patient Accounting Department resolving hospital Managed Care payment variances and/or denials . **Job Responsibilities may include the following, but are not limited… 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, ... to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to Billing Manager/Revenue… 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 Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... health care or insurance environment preferred **Responsibilities** 1. Enters office, inpatient , and/or outpatient charges with accurate data entry of codes. Ensures… more
- Highland Hospital (Rochester, NY)
- **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and perform quality control...quality control function for all preadmission visits on surgical inpatient , short stay 23 (SS23), Endo and ambulatory procedures… more
- Mount Sinai Health System (Elmhurst, NY)
- …ICD-10CM and HCPCS codes for a multi-specialty group practice. Services include inpatient , outpatient, Emergency, and ambulatory surgery for both E & M encounters ... and/or meet with physicians regarding documentation and deficiencies. Review edits, denials and requests for additional information from the accounts receivable team… more
- Albany Medical Center (Albany, NY)
- …professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are ... and Responsibilities + Optimize hospital reimbursement by auditing and monitoring inpatient records and investigating unbilled cases. + Understands the hospital … more
- WMCHealth (Valhalla, NY)
- …+ Conducts focused audits on specific services/specialties to identify root causes of coding/ denials and provide feedback. Keeps a log of findings and re-reviews to ... four years of experience where the primary function of the position was inpatient and outpatient medical records coding and/or auditing in a large multispecialty… more
- Ellis Medicine (Schenectady, NY)
- …or Equivalent required. + Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health ... for the assigned physician practice(s). + Responsible for reviewing Inpatient , Surgeries, and Practice records for diagnoses and procedures...PBO dept. to reduce and address claim issues and denials timely. + Assists in the maintenance of the… more
- Rochester Regional Health (Rochester, NY)
- …in various system committees and work groups, including billing, revenue cycle, denials , and others as assigned. + Ensure effective staffing levels by evaluating ... and extensive knowledge of complex disease processes in an inpatient setting. + Exhibits excellent observation skills, analytical-critical thinking, problem… more
- Mount Sinai Health System (New York, NY)
- …+ Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified ... with payers to ensure timely handling of audit requests, review technical payer denials , determine if an appeal is warranted, and write and track appeal letters.… more