- Catholic Health (Buffalo, NY)
- …billing staff + Research requests from office and billing staff regarding claim denials, provider out-of-network issues, etc. + Updates to provider initial ... credentialing with location updates, name changes, etc. WORKING CONDITIONS: + Normal heat, light space, and safe working environment; typical of most office jobs + Individual may be required to travel to other CH facilities for staff meetings/staff training… more
- IQVIA (Bronx, NY)
- …+ Call center experience required (3+ years preferred) + Experience in medical claim processing is a plus + Bi-lingual (English/Spanish) **The pay range for this ... role is $18.00 per hour. To be eligible for this position, you must reside in the same country where the job is located.** **IQVIA** is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate,… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …systems + Familiar with Enterprise billing options and practices surrounding claim submission + Strong communication skills + Outstanding customer service skills ... + Excellent organization skills + Ability to multitask and prioritize + Excellent computer and keyboarding skills + Successful completion of a pre-employment and/or random drug screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security… more
- Saratoga Hospital (Saratoga Springs, NY)
- …accounts to determine appropriate appeal/response to the denial notification to resolve claim . + Tracks denied and overturned accounts, compiling routine and ad hoc ... reports. + Develops and coordinates educational and training programs regarding trends in coding denials + Initiates corrective action to ensure resolution of problem areas identified during internal or external auditing and provides feedback and focused… more
- Albany Medical Center (Albany, NY)
- …+ Validate and correct registration and insurance information, notations, correct claim submission. + Researches and interprets information to efficiently reconcile ... accounts. + Review and understand payer policy guidelines regarding billing. + Follow internal policies and procedures for accurate account review. + Meet expected production and quality standards. + Other related duties as assigned. Extensive on the job… more
- Catholic Health (Buffalo, NY)
- …charity care or bad debt processing (3) Active engagement and processing of denied claims or other rebill efforts for follow up or escalation to ensure payment. A ... high level of customer service is expected in this role at Catholic Health. Responsibilities: EDUCATION + High School diploma EXPERIENCE + One (1) - three (3) years relevant experience in healthcare accounts receivable billing or collection preferred… more
- MVP Health Care (Schenectady, NY)
- …customer inquiries, questions and concerns in areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care across a ... variety of insurance types. + Meet individual accessibility and quality goals, and team goals for industry standard benchmarks such as Average Speed of Answer, and Abandonment Rate. + Responds promptly, accurately, and effectively to all calls in a polite and… more
- Aspen Dental (Albany, NY)
- …issues in a timely manner. + Research and resolve out of network claims issues by investigating provider participation status and effective dates of enrollment. + ... Coordinate temporary provider enrollments and ensure all necessary documentation, linkage and payer updates are completed. + Collaborate closely with RCM on status of provider enrollments including providing reports submission as needed. + Generate and… more
- ABM Industries (Syracuse, NY)
- …basis to find any unsafe conditions or maintenance issues * Report incidents or claims to Operations Manager or Shift Lead * Drive small and large passenger vehicles ... (SUV's, Van, Pickups, etc.) * Perform pre-inspection and post-inspection activities to ensure proper operating conditions, compliance with proper safety standards A good job for someone just entering the workforce or returning to the workforce with limited… more
- Molina Healthcare (Buffalo, NY)
- …medical management, network contracting and provider relations, member services, claims management, payment integrity, pharmacy, quality and risk adjustment. * ... Acts as a critical segment clinical leader for external providers, regulatory (local, state and federal) and accrediting agencies. * Identifies potential areas of non-compliance by overseeing audits and provides advice and guidance to operational areas… more
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