- CVS Health (Albany, NY)
- …that may compromise the integrity of the organization's operations and claims processes. **Core Responsibilities** + **Investigative Leadership** : Conducts thorough ... billing and coding practices, verifying document authenticity, and identifying false claims or improper billing. + **Data-Driven Analysis** : Utilizes advanced data… more
- Sedgwick (Albany, NY)
- …marine vessels to assess monitor and report on the condition and submit claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages a team of surveyors and ... adjusters. + Investigates various aspects of marine transport operations and claims . + Ensures compliance with various standards or specifications. + Inspects… more
- Paramount (New York, NY)
- …with primary responsibility for advising internal business clients, handling pre-litigation claims , and litigating cases, both as counsel of record and in ... a wide range of matters, including media litigation (including defamation claims , journalist privilege issues, and FOIA litigation), intellectual property claims… more
- Rochester Regional Health (Rochester, NY)
- …Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims ... actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials… more
- City of New York (New York, NY)
- …protect the City fisc, and to represent the City in the array of claims that arise in its operations. Division attorneys handle matters involving virtually any ... civil enforcement of the Administrative Code, fraud and false claims act cases, and property damage claims ....false claims act cases, and property damage claims . After the completion of orientation, attorneys hired by… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems...Receivable accounts via online workfile and/or hard-copy reports; checks claims status, re-submits claims , and writes appeal… more
- WMCHealth (Valhalla, NY)
- …of the Class: Under general supervision, an Insurance Clerk processes insurance claims to third party health carriers for billing of medical services provided ... Responsibilities include initial billing, investigation and reconciliation of problem claims , maintaining automated accounts, filing, and other clerical tasks.… more
- Zurich NA (New York, NY)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
- University of Rochester (Rochester, NY)
- …open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits ... claims , submits appeals and takes timely and routine action to resolve unpaid claims . Resolves moderately complex claims . **ESSENTIAL FUNCTIONS** + Edits and… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …Assist in billing and cash application of Medicaid/Medicare/DME/Home Infusion claims . Manage open accounts receivable which requires rebilling within timely ... billing and payment application for secondary insurances, Noble Medical Billing Claims , home infusion claims , and DME claims + Oversight of the electronic… more
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