- Excelsior Orthopaedics Group (Amherst, NY)
- …Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial ... team focused, service driven, accountable, and innovative every day. + Track claim status using payer portals and billing software; investigate and resolve… more
- Robert Half Accountemps (Rochester, NY)
- …to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, ... billing operations. Responsibilities: * Prepare, review, and submit accurate insurance claims in alignment with established deadlines. * Process payments received… more
- Elevance Health (Latham, NY)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...network contracting. **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review,… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental and ... programs and evaluations, scheduling and timesheets. + Analyzes and identifies claim payment issues, patterns, and root cause; tracks and pursues un-timely,… more
- Elderwood (Buffalo, NY)
- …+ Skilled nursing facility, assisted living facility and private pay pharmacy claim billing + Troubleshoot rejected insurance claims resulting in payments ... Bill/Invoice Review + Medicaid Pending Status Review + Medicaid claim rebilling + Updated Skilled Nursing Facility Census and...long term care or hospital. + Experience with Pharmacy claims and various types of pharmacy billing preferred +… more
- Catholic Health (Williamsville, NY)
- …encounters are accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and contracted payer ... limited to, the following : (1) Review of all claims for accuracy of demographic and charge information (2)...the first fourteen days of follow up on the claim to ensure proper receipt of the claim… more
- OLV Human Services (Lackawanna, NY)
- …and programs within the agency. Essential Job Duties: + Review, scrub, and submit claims in a timely fashion + Address claim rejections, denials, and ... Job Summary: The Billing & Accounts Receivable Specialist is responsible for billing claims , posting payments, and follow up of denials/aged claims for a… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service ... calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address...have experience in a high-volume call center, experience with claims inquiry and claims review procedures, knowledge… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... preparing claim adjustments to maximize federal and state funding, providing...providing technical support, financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible… more
- Catholic Health (Buffalo, NY)
- …Performs follow-up on insurance company denials on a timely basis + Review of all claims for accuracy + Review and identify errors or issues with billing and correct ... payer newsletters and other publications. + Follow up on any unpaid/outstanding/denied claims within the payers timely filing guidelines to ensure proper receipt of… more