- Ellis Medicine (Schenectady, NY)
- …Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider ... and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to...correction if there is a registration error or missing claim form. + Once all errors have been identified… more
- General Dynamics Information Technology (Menands, NY)
- …Required:** None **Job Family:** Professional Engineering **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 + ... to the Quality Assurance Regression (QAR) baseline + Add claim 837 (I, D and P) test cases to...TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience… more
- University of Rochester (Brighton, NY)
- …May research information to assist legal counsel + Produces reports, audits claim , evaluates eligibility and entitlements and considers multiple leave options to ... payments. + Exercises discretion and independent judgement when identifying claim discrepancies and recommends resolution processes. Directs vendors related to… more
- Leviton (Melville, NY)
- …recording and application of all customer cash receipts and the posting of claims and chargebacks. This role will evaluate, process, and resolve customer deductions ... generating resolution effort reports in Excel to highlight trends and track claim outcomes. Collaborate with outside sales, logistics, warehouse, and customers to… more
- Sedgwick (New York, NY)
- …Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... including handling accounting-based losses (business interruption and stock). + Examines claim forms and other records to determine insurance coverage. + Interviews,… more
- Sedgwick (New York, NY)
- …Executive General Adjuster - Northeast Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... including handling accounting-based losses (business interruption and stock). + Examines claim form and other records to determine insurance coverage. + Interviews,… more
- Catholic Health (Buffalo, NY)
- …(IDM) position is responsible for monitoring and aggressively managing claims leaves, and absences associated with occupational and non-occupational injury ... regulations, and procedures for handling NYS Workers' Compensation and Disability claims . This position also requires the necessary expertise and active involvement… more
- Travelers Insurance Company (Albany, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
- Molina Healthcare (Yonkers, NY)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- City of New York (New York, NY)
- …benefits, as well as advocating for veterans' rights. General Responsibilities: - Claim Assistance: Helping veterans file initial claims for disability, ... culture. DVS' Veterans Support Services Attorney will assist the Claims Team and the Legal Unit. Legal Assistance with... Team and the Legal Unit. Legal Assistance with Claims Team The Veterans Support Services Attorney will support… more