- Saratoga Hospital (Saratoga Springs, NY)
- …Patient Access (PA) and Patient Financial Services (PFS). The Denials Specialist is responsible for tracking denied HIS inpatient accounts, working with ... Under general supervision of the Manager, Health Information Services, the Denials Specialist performs activities to ensure appropriate financial reimbursement… 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...+ Medical Billing Expertise: Proficient in billing, claims processing ( Inpatient , Outpatient, Critical Access, Rural Health), denials … more
- Cognizant (Albany, NY)
- …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.... Epic experience . Experience in drafting appeals disputing inpatient clinical validations audits is a plus. We're excited… more
- Northwell Health (Melville, NY)
- …Review, Case Management, and Clinical Appeals. 3-5 years of acute inpatient clinical experience. Experience with MCG guidelines. Experience with Epic. Additional ... Salary Detail** The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When… more
- Catholic Health (Buffalo, NY)
- …based on role of management and oversight of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, carrying out and ... limited to clinical documentation/support for diagnostic related grouping (DRG) assignment, inpatient and outpatient medical necessity. The individual also works to… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on ... share knowledge and audit tips across the team. The Clinical & Coding Specialist -Senior will support the leadership in Hospital Audit in accomplishing all aspects of… 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
- 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...insurance and registration data for scheduled office, outpatient, and inpatient encounters and scheduled surgeries; reviews encounter forms for… 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 ... Pharmacy-related billing, charge integrity, and reimbursement operations across inpatient , outpatient retail, specialty, and infusion pharmacy services. Reporting to… more
- WMCHealth (Valhalla, NY)
- Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care ... Internal Applicant link Job Details: Job Summary: The Authorization Specialist is responsible for performing complex clerical procedures related to… more
- Highland Hospital (Rochester, NY)
- **16923BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** he 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
- SUNY Upstate Medical University (Syracuse, NY)
- …shift to follow up to admit patients with admit to Observation or Inpatient order. Complete appropriate forms before patient leaves the ED when possible. Updating ... queues and claim edit errors, Assists with audits & analysis of denials . Assists with development of training materials. Appropriately relays issues identified as… 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 and outpatient records and investigating unbilled cases. + Understands… 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
- 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
- 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