- Robert Half Office Team (Rochester, NY)
- …* Deliver outstanding customer service to clients by addressing inquiries and resolving claims in a timely and detail-oriented manner. * Maintain accurate records of ... and internal procedures to enhance service delivery. * Assist in claim administration and policy-related tasks to ensure seamless operations. Requirements *… more
- Helio Health Inc. (Syracuse, NY)
- …systems and patient access software. + Excellent understanding of Medicaid and Third-party claim procedures for both paper-based and electronic claims . + Strong ... understanding of healthcare regulations, including HIPAA and insurance requirements specific to behavioral health services. + Exceptional communication and interpersonal skills to collaborate with internal and external partners. + Strong computer skills… more
- Centene Corporation (Queens, NY)
- …Investigate, resolve and communicate provider high dollar and high volume provider claim issues and changes + Educate providers regarding policies and procedures ... related to referrals and claims submission, web site usage, EDI solicitation and related topics + Evaluates provider performance and develops strategic plan to… more
- Access: Supports For Living (Middletown, NY)
- …collections, and payment processes. + Maintain a clear understanding of claims processing, payer denials, and appeals. + Prepare recurring and adjusting ... evaluate billing team productivity through KPIs: total revenue, collection rates, AR days, and claim denials. + Set and track goals for aging AR reduction and cash… more
- University of Rochester (Rochester, NY)
- …related to the following: + Bankruptcy filings and resolution + Estate Claim verification + Presumptive financial assistance + Other recommendations to resolve ... which includes but is not limited to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed + Hold Bill Worklists + Statement Edits +… more
- World Insurance Associates, LLC. (Webster, NY)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies. This includes marketing of renewal ... all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries Qualifications + Bachelor's degree or equivalent work… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: 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. Answering incoming phone calls from patients pertaining to billing, insurance, and payments. Minimum Qualifications: High School degree or equivalent and two years clerical support in a medical… more
- MTA (New York, NY)
- …the affected HQ employee's injury is recorded, the condition is corrected, and the claim is properly processed for continuance of care and compensation. Serve as the ... HQ injured employee's liaison to the General Counsel's Workers' Compensation claims department to assist if there are any related problems during the process.… more
- Broadview FCU (Albany, NY)
- …monetary loses due to non-compliance. + Process Share Draft dispute and fraud claim requests in accordance with the check processing rules and department procedure. ... as industry developments, regulatory changes, and compliance. + Processing Check Fraud claims timely adhering to all security controls and regulatory timeframes. +… more
- Evolent (Albany, NY)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or management… more