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This position is responsible for reviewing underwriting appeals, as well as life insurance claims and chronic and terminal illness rider claims. The Life Underwriter I is responsible for the underwriting review of life insurance applications.
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Prepare and mail medical documentation request/appeals to Insurance carriers for adjudication. Top NYC Hospital is looking for an experienced data entry/financial operations professional to join its Team as a Revenue Operations Associate for a Two (2) Year Temporary Assignment as they transition to a new EMR-Electronic Medical Records system (EPIC.
$20.2 - $23.2 an hourTemporaryExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
$52,900 - $95,200 a yearFull-timeExpandUpdated 6 days ago - UpvoteDownvoteShare Job
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The firm offers a friendly, business casual environment with a competitive salary and full benefits package, including Medical, Dental, Vision, 401K, PTO, Disability & Life Insurance. Knowledge of the Appeals and Deductions process.
$50,000 - $80,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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Transmits all correspondence to insurance companies for medical necessity inquires. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, NewYork-Presbyterian Hospital/Brooklyn Methodist Hospital, NewYork-Presbyterian Hospital/Westchester Behavioral Health Center, and NewYork-Presbyterian/Queens.
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Makes medical necessity determinations for grievance and appeals appropriate for their specialty. A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois.
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Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500) Licenses and Certifications: Preferred - Current LPN or RN licensure Our Commitment to Diversity, Equity, and Inclusion UW Health is committed to being a diverse, equitable, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer.
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Appeals insurance denials for medical necessity for inpatient and outpatient services. Performs medical record review to assess for appropriateness of admissions and continued hospital stay.
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Processes appeals of insurance denials and follows-up until the appeal is resolved. Medical, Dental, and Vision Insurance. Rendr is the leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County.
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More than 2 years' experience in medical claims processing experience and health insurance customer service. Process medical appeal requests that require a committee component to resolve the appeal by updating appeals tracking systems and logs, scheduling committee meetings and preparing an accurate summary of the appeal, and maintaining turnaround times based on state requirements.
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Knowledge of medical insurance terminology and definitions such as: deductible, out of pocket, authorization, referral, copayment, Tax ID, NPI, etc. Problem solving skills to research and resolve insurance discrepancies, denials, and appeals.
Full-timeExpandUpdated 8 days ago - UpvoteDownvoteShare Job
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Review and follow up on denials related to coding and charge entry processes; if a claim is denied due to incorrect coding, conducts medical records research and corresponds with insurance companies and clinicians to resolve issue.
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Send appeals for: low reimbursement, no authorizations, timely filing, medical necessity etc. Submit paper claims to primary and secondary insurance with correct documentation, ie: operative reports, implant invoices, primary eob'sAdjust claims for correct fee schedule, incorrect payments and patient responsibility.
Full-timeExpandUpdated 12 days ago
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