- MTA (New York, NY)
- …for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + Responsible for the management ... and assess loss picks, ensuring accuracy in estimating future claims costs. Oversees OCIP claims and settlements...cost, accuracy and best practices. + Monitors and manages claim reserves, working with TPAs and insurers to adjust… more
- CVS Health (Albany, NY)
- …in support of an international network, medical cost management and overall claim /customer service strategies. This role will provide concierge level of service to ... float management. + Ensuring service level adherence (GOP TAT, eligibility processing, claim TAT, reconciliation TAT, fee invoicing etc) + Ensure TPA networks are… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...coding issue. Audits. + Follow-up on rejected or denied claims , improper payments and coding issues. + Process appeals.… more
- CVS Health (Amherst, NY)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... + 2+ years of experience working in an accounting system, including accounts receivable, accounts payable, auditing, and billing. **Preferred Qualifications** + Resides in Amherst, New York, with the ability to work a hybrid schedule in the local office. +… more
- Customs and Border Protection (Queens, NY)
- …homeland security by performing paralegal activities such as reviewing and finalizing claims , preparing cases, and coordinating the work of a paralegal team. In ... hours. You are required to submit proof of your claim . OR A bachelor's degree with Superior Academic Achievement...hours. You are required to submit proof of your claim . Combining Education and Experience: Combinations of successfully completed… more
- Robert Half Accountemps (Garden City, NY)
- …to ensure compliance with payer requirements. * Investigate and address claim denials, identifying root causes and implementing corrective actions. * Conduct ... Requirements * Proven experience in medical billing, including charge entry and claims processing. * Strong knowledge of insurance authorization processes and payer… more
- Mount Sinai Health System (New York, NY)
- …in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred. + Minimum 7-10 years of progressive ... ensure optimized processes deliver measurable improvements in cost-to-collect, clean claim rates, denial reduction, and cash acceleration. 4. Workflow… more
- Kelly Services (New York, NY)
- …statistics contained in the reporting packet. + Maintain knowledge of ongoing claim issues with funding reinsurance, etc.; proactively identify services issues and ... existing groups. + Communicate with the client on large claim situations and what oversight/management the company will provide....company will provide. + Resolve group level issues with claims , funding, eligibility etc. as needed by enlisting the… more
- New York State Civil Service (Albany, NY)
- …SAMS software program to perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use in aid calculations and ... implementation of guidelines and procedures, and risk-based analysis for post-edit claim verification projects;* Process revisions to school districts' prior year… more
- Robert Half Accountemps (Rochester, NY)
- …with claim administration, including resolving billing discrepancies and processing claims . * Respond to inbound calls from clients to address payment-related ... and collection processes. * Ability to handle billing functions and claim administration efficiently. * Exceptional communication skills for answering inbound calls… more