- Sedgwick (Albany, NY)
- …Adjusting **PRIMARY PURPOSE** **:** Completes non-complex projects related to claims operations including field, desk and estimating software activities; networks ... department management. Projects may involve various specialty practice areas of claims such as engineering, forensic accounting, and fire investigation. + Assists… 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
- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and ... oversees necessary correspondence in accordance with regulatory requirements. * Ensures claims production standards set by the department are met. * Maintains… more
- Sedgwick (Albany, NY)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...to be accredited or qualified by experience + **Insurance claims experience:** it is imperative that you have experience… more
- Upstone Materials (Cairo, NY)
- …trackers. + Ensure timely issuance of contractual notices (eg, delay, disruption, claims ). + Monitor compliance with contractual obligations by all parties. ... & Variations + Prepare, assess, and negotiate variations, claims , and change orders. + Support the preparation of...+ Support the preparation of Extension of Time (EOT) claims and cost claims . + Maintain records… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted... processing preferred. **Responsibilities** 1. Follows up on submitted claims , monitors unpaid claims and resubmits … more
- 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