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Provides appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. Evaluates and treats children & adolescents with appropriate medical diagnostic and treatment skills.
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Provide technical support by conducting coverage review of applicable insurance policy and reservation of rights/ denials from insurance carriers and determine any opportunity for advocacy of coverage and then assist with such advocacy.
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Responsibilities:The Revenue Cycle Analyst will: Report directly to the Director of Revenue Cycle Management, providing updates and feedback on billing activities Communicate, resolve interruptions in the revenue cycle that prohibit maximized reimbursement Provide on-going focus and reporting on claims reprocess improvement and best practice Analyze and address billing denials, determining necessary corrections and re-submissions.
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Communicate on a daily basis with practice managers, clinicians and PFS staff to ensure that visits are appropriately registered, meet all insurance pre-authorization requirements and increase revenue by reducing payment denials for unauthorized services.
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How to utilize insurance portals – Availity, United Healthcare, Connex, etc. Understanding of denials – what they mean and how to overturn. Experience with insurance portals (ex: United, blue cross, etc.
$20 - $23 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Billing Specialist will work closely with the Revenue Cycle Team to assure accurate and timely submissions of claims, follow-up with payors, and appealing denials. Two years of experience in clerical/office support work and/or education post-high school level in business, medical billing or related field preferred.
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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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Acts as consulting physician for patients who require hospitalization for primary medical diagnoses, depending on needs of patients, medical staff and hospital. Evaluates and treats patients with appropriate medical diagnostic and treatment skills.
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In this role, the successful candidate under the general direction of the RCO Director and the assigned RCO Associate Director/Sr Manager/Manager/ Supervisor, the RCO Financial Clearance Associate (FCA) is responsible for performing accurate and timely insurance clearance functions pre and post service to ensure maximum hospital reimbursement and mitigate insurance denials.
$39,601.11 - $52,373.1 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Knowledge of denials and rejection errors from Medicaid and MCO (Managed care Organizations) Experienced Revenue Cycle Manager who can contact with insurance carriers via telephone/online for status.
$100,000 - $105,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Be part of something remarkable Join the 1 hospital in Wisconsin We are seeking a Clinical Denial Specialist to: Research payer denials related to referral, pre-authorization, medical necessity, case management, non-covered services, and billing resulting in denials and delays in payment.
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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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Zion Talent Partners in our search for a dynamic Billing Manager experienced in the medical field! Ensure timely processing, monitoring, and collection of Medicare, Medi-Cal, and other commercial insurance claims.
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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.
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Submit insurance claims promptly and follow up on any delays or denials. You’ll be responsible for accurately coding medical procedures and handling insurance claims. Knowledge of coding systems like ICD-10, CPT, and HCPCS. Comfortable using medical software and electronic health records.
$27TemporaryExpandApply NowActive JobUpdated Today
medical insurance denials jobs in New York, NY
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