- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for resolving moderate to complex system edits from the electronic billing system and/or payors to facilitate the accurate and ... + High School diploma/GED. + Three years of experience in a medical billing or insurance claims environment. **Responsibilities** 1. Reviews and resolves moderate to… more
- Mount Sinai Health System (New York, NY)
- …or HS Diploma/GED plus two years of related experience. + 3 years healthcare billing experience required. Familiarity with CPT and ICD (coding and CCI edits ). ... Works declines and processes appeals. 3. Ensures that established billing targets for collections, gross, days in A/R and...level. 10. Reviews, works and clears electronic and claims edits daily; summarizes and forwards non-workable edits … more
- Mount Sinai Health System (New York, NY)
- …for posting of line item insurance payments and patient payments into the billing system, posting of declines, charge corrections, and preparation of daily deposits ... of related experience. + 3 years of health claims billing experience; prefer experience working with CPT and ICD9...experience working with CPT and ICD9 coding and CCI edits **Responsibilities** 1. Reviews insurance Explanation of Benefits and… more
- Highmark Health (Trenton, NJ)
- …concerning oral, injectable and infusion medication requests, and drug claim edits /prior authorizations. Clearly defines the medical necessity of non-formulary and ... duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in… more