- Sedgwick (Albany, NY)
- …Insurance Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty claims investigation and analysis through examination of the loss, collection ... + Runs and interprets formal background checks related to claims through online resources, evaluating the results as it...and advises client of the outcome. + Handles medical claims (under P&I coverage) from beginning to end requesting… more
- Robert Half Accountemps (Forest Hills, NY)
- …will manage various billing functions, ensuring accuracy and efficiency in processing claims , invoices, and payments. This is a long-term contract position within ... Prepare and process billing statements and invoices with precision. * Handle claims processing for Medicaid and healthcare-related billing. * Investigate and resolve… more
- EAC Network (Garden City, NY)
- …with program directors, develop plans to address variances. + Process and submit claims requests within 10 business days of the end of each reporting period. ... external funder systems and kept current for use in claims and projections. + Collect and verify key cost...to develop accurate budgets and projections that support planning, claims , and internal decision-making. + Ensure that all budgets… more
- Oak Orchard Health (Brockport, NY)
- …the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through ... the third-party billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working closely… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the...+ 5 years experience in medical billing or health claims , with experience in IDX billing systems in a… more
- City of New York (New York, NY)
- …5141. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer...records. Contacts City agency staff to make inquiries regarding claims ; returns incomplete claims to appropriate party… more
- University of Rochester (Rochester, NY)
- …requiring provider intervention. + Resolves flagged reports to ensure timely submission of claims to payers. + Monitors and ensures worklists are completed in a ... timely manner. + Monitors cash flow, receivables, Hold Bills, Claim Edits, and aging reports, as well as payment and denial worklists. + Performs monthly audits of… more
- MVP Health Care (Tarrytown, NY)
- …justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law ... CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data. + Working knowledge of MS Office (Word, Excel and Outlook) +… more
- Westchester Jewish Community Services (White Plains, NY)
- …3rd Party Insurance. This position ensures timely and accurate processing of claims , collections, and account reconciliations to support the financial health of our ... billing for Managed Care, Medicaid, and Third-Party Payers, ensuring timely claim submission, editing, transmission, and verification. + Post insurance carrier… more
- City of New York (New York, NY)
- …Clerical Associates, Eligibility Specialist, and Principal Administrative Associates involved in claim review and processing. - Assign, evaluate and review completed ... - Liaise with the Social Security Administration on any issues related to the claims or the use of the Government Service Online (GSO) application. Salary Range:… more