- 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
- World Insurance Associates, LLC. (Cold Spring Harbor, NY)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries + Coordinate expiration list with department manager… more
- University of Rochester (Rochester, NY)
- …party payer issues. **ESSENTIAL FUNCTIONS** + Reviews reports of unbilled cash claims , self-pay plans not final billed, hold bill worklists, statement edits, credit ... the collection agency liaison to provide cross coverage, including estate claim verification, settlement offers for collection agency accounts, bankruptcy filings… more
- Catholic Health Services (Smithtown, NY)
- …accurate coding and billing of resident care services to maximize reimbursement. + Claim Review: Review and analyze submitted claims for accuracy and identify ... potential areas for improvement or appeal. + Regulatory Compliance: Stay up-to-date on current reimbursement regulations and guidelines (eg, Medicare, Medicaid) and ensure compliance. + Data Analysis: Analyze reimbursement data to identify trends and… more
- City of New York (New York, NY)
- …- Interviewing applicants regarding their ordinary and/or accident disability claims . - Performing physical examinations on applicants. - Discussing medical ... Medical Board physicians in order to render a decision on the applicant's claim . - Dictating the findings of the document analysis, interview results, physical… more
- Towne Park (Mount Kisco, NY)
- …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... information including key tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the valet system. Consistently… more
- Datavant (Albany, NY)
- …and optimizing service outcomes in both hospitals and alternative care settings. ** Claim edit experience is required; Must be proficient in resolving claim ... complex coding edits efficiently and accurately to ensure timely and compliant claim processing.** **What You Will Do:** + Review medical records and assign… more
- City of New York (New York, NY)
- …attorneys, Estate executors, Administrators, Fiduciaries, and Beneficiaries); eg, Proof of claim , Notice of Lien. - Manage, maintain, and organize all papers ... uploading documents to HRA's One Viewer. - Obtain Welfare Management System (WMS), Claim Detail Report (CDR) and Division of Accounts Receivable and Billing (DARB)… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …accounting clerk to join the Finance Team. They will be responsible for day-to-day claims payments and refunds processes. This role is on site, at the Westbury, NY ... + Record deposits daily and create cash accounts receivable records in claims billing software, ensuring that transactions are processed with 100% accuracy. +… more
- Sedgwick (Buffalo, NY)
- …with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and ... explains claims /repair process + Negotiates advanced fees for tow, tear...extraordinary customer service to all parties involved in the claims process + Other duties as assigned by management… more
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