- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Candidate will be responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient ... accounts, resolving denials, and fielding all incoming correspondence. Candidate will answer incoming phone calls from patients pertaining to billing, insurance, and payments. Minimum Qualifications: 2-3 years Medical Billing Experience- Radiology preferred… more
- M&T Bank (Getzville, NY)
- …check requests, demand letters, appraisal orders and bankruptcy proof of claims . + Research, gather, prepare and validate appropriate documentation associated with ... obtaining required documentation and providing ongoing research support throughout the claim process. + Research the remediation cases as required for BSA/AML;… more
- Independent Health (Buffalo, NY)
- …and resolve inquiries; provide benefit clarification and eligibility; communicate claim and reimbursement information, facilitate proper utilization of policies and ... receive and effectively resolve written inquiries from members regarding claims , benefits, eligibility, reimbursement and participating providers. + Knowledge of… more
- City of New York (New York, NY)
- …domestic violence, in crisis intervention, advocacy, and assistance in filing a claim for victim compensation through the NYS Office of Victim Services, navigation ... release. Assist clients with the completion of and filing of victim compensation claims with the State Office of Victim Services. Prepare letters and forms to… more
- Carrington (Albany, NY)
- …internal departments, in-house attorneys, and other stakeholders. + Conduct pre- claim title review including reviewing title records, organizing documents, creating ... chronologies, preparing and submitting title claims , monitoring for response from insurers and working with carrier retained counsel. + Ensure compliance with… more
- Racker (Ithaca, NY)
- …Generates reports to track utilization data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends and generates reports for ... of benefits-related data, including PPACA oversight. + Assists employees regarding benefits claim issues and plan changes. + Assists with distributing all benefits… more
- TEKsystems (Hicksville, NY)
- …Billing or Hospital Billing module to manage charges, benefit engines, claims , and payment processors. * Workflow Analysis and Improvement: Analyze workflows, ... (NCCI) to review and resolve NCCI edits for Part B physician billing Claim Edits. *Full knowledge of company policies and procedures. *Maintains confidentiality of… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with MTM, Corporate Service strategy, NCQA, ... First Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other complex… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …and peer review. Participates in clinical review process such as tort claims , peer reviews, management reviews and administrative activities, as directed by the ... ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school… more
- AIG (New York, NY)
- …will be a trusted business partner, working closely with the underwriting and claims departments to ensure profitable performance and growth. How you will create an ... & maintain advanced models for various business functions such as pricing or claim monitoring + Work closely with underwriting business partners to review market… more