- City of New York (New York, NY)
- …responsible specialized administrative work supervising the functions of the City-wide Claims Units and/or supervising the functions of the City-wide Special ... Projects Units. The City-wide Claims Units are responsible for determining if Food Stamp claims should be filed on cases with change actions resulting in a… more
- New York State Civil Service (Albany, NY)
- …of health care complaints, including, but not limited to billing and claims reimbursement disputes; denials of coverage for medical treatment, prescriptions, and ... medical devices; incorrect processing of medical, mental health and substance abuse claims ; access to specialty and transitional care; termination of health plan… more
- City of New York (New York, NY)
- …and claiming data for data entry into multiple database systems for agency claims submitted annually for Federal and State reimbursement. - Analyze fiscal year ... claims , revenue, invoices and payment vouchers to ensure alignment...Agencies, Program areas and Vendors of status of relevant claim and payment schedules during the fiscal year. -… more
- Weill Cornell Medical College (New York, NY)
- …needed. Tracks and resolves issues on denied claims . Resubmits or appeals claims as required. Escalates more complex claim issues when necessary. + Obtains, ... reviews and updates patient demographic and insurance information within the practice management billing system. + Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. Facilitates the… more
- Sedgwick (Albany, NY)
- …to manage a team of adjusters and surveyors and to produce quality claim handling and services. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Builds and maintains ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- City of New York (New York, NY)
- …departmental requirements. - Oversee Revenue Analysts to ensure accurate analysis of claims data, claim submissions and reports are processed timely based ... financial documentation to support revenue plans; preparing and submitting revenue claims ; preparing financial reports to various New York State departments, the… more
- Chobani (New York, NY)
- …trials, and supply chain feasibility Partner with Regulatory and Legal to ensure claims feasibility and claim support Reporting of project status, key decisions, ... for packaging artwork and follow closely for development, sales renders, claims approvals and final routing Coordinate go-to-market activities assuring business… more
- TEKsystems (Rochester, NY)
- Description SBO-Single Business Office - Corrects Error or Edits needed to get claim out - Incorrect, patient id, Diagnosis code isn't accepted, payer etc. - Will be ... Billing Assistant (SBO), Business Office Representative (SBO), Epic, Hospital billing, Claims and denials Additional Skills & Qualifications Preferably a 2 or… more
- Hannaford (Utica, NY)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms if needed. * Maintain organized filing system for invoices, manual ... insurance claims , daily reports, etc.. in accordance with Standard Practice...of third party prescription information and resolution of rejected claims . * Initiate prescription renewal requests to prescriber via… more
- KPH Healthcare Services, Inc. (Rochester, NY)
- …bad debt processing + Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up + Track and re-bill pending Medicaid accounts + ... Re-bill claims as needed + Identify pattern problems (improper patient...and private pay + Month-end closing process + Re-bill claims to improve reimbursement from NETRX reporting + Assist… more