• Denial Management Specialist

    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 ... participates in the Performance/Quality Improvement activities of the assigned department . Contribution and participation includes data collection, analysis, implementation… more
    BronxCare Health System (06/21/25)
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  • Coding Compliance and Training Specialist

    Weill Cornell Medical College (New York, NY)
    Title: Coding Compliance and Training Specialist Location: Midtown Org Unit: Coding Administration Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: ... for appropriateness of documentation, procedure, diagnosis codes and evaluation and management codes. Performs charge entry and provides information and direction to… more
    Weill Cornell Medical College (03/25/25)
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  • CBO Contract Reimbursement Specialist

    Mount Sinai Health System (New York, NY)
    …and facilitate all escalated managed care issues received from CBO management , employed providers and/or their designees, includes Vice Chairs, department ... payer education. Attend internal meetings as required eg team meeting, and department staff meetings. 7. Collaborates on escalated revenue cycle initiatives and… more
    Mount Sinai Health System (05/29/25)
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  • Cash Assistance Customer Resolutions Unit Director

    City of New York (New York, NY)
    Job Description YOU MUST BE PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST TITLE FOR AT LEAST ONE YEAR OR PERMANENT IN THE ADMINISTRATIVE JOB OPPORTUNITY ... SPECIALIST (AJOS) TITLE. THIS IS A PROVISIONAL APPOINTMENT, WHEN...for the organization, direction and supervision of the Case Management , Case Establishment, and the Case Support units which… more
    City of New York (05/14/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and reports quality ... a formal appeals request has been made or upon request by another Molina department to reduce the likelihood of a formal appeal being submitted. + Independently… more
    Molina Healthcare (05/16/25)
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