- 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
- Mount Sinai Health System (New York, NY)
- …processes appeals. Posts denials in IDX on a timely basis. + Provides comprehensive denial management to facilitate cash flow. Tracks, quantifies and reports on ... resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to Billing… more
- 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
- Hackensack Meridian Health (Hackensack, NJ)
- …Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records ... not limited to utilization review, hospital reimbursement, clinical compliance, case management , and transitions of care, as outlined in the responsibilities below.… more
- 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
- 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