- Excellus BlueCross BlueShield (Rochester, NY)
- …for employee development and promotional opportunities. All Levels + LPN, Medical Assistant , Health Plan customer service or claims processor experience with ... policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and… more
- City of New York (New York, NY)
- …DOHMH submitted claims after state approval. Reconcile and submit consolidated claim reports (CCR) to state agencies as needed. Ensure all monthly, quarterly, ... Position Summary: The Revenue Analyst will report to the Assistant Director of State Aide Claiming along with three...BE LIMITED TO: Responsible for the agency's Article 6 claim submissions to state. Learn and understand Public Health… more
- City of New York (New York, NY)
- …first- and third-party No-Fault Claims . The College Aide will report to the Assistant Division Chief for First Party Claims and Assistant Division Chief ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....in the best interest of the city, settles pre-litigation claims for and against the City of New York.… more
- Gates Chili Central School District (Rochester, NY)
- …role will also work with key staff to handle harassment investigations, unemployment claims , and workers' compensation claims . The Director of Personnel will ... HR goals of the district. This position reports directly to the Assistant Superintendent for Personnel and Labor Relations. Compensation/Pay Range*:$105,000 based on… more
- City of New York (New York, NY)
- …DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the Assistant Director and be responsible for the monitoring and tracking of Mental ... contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates....provider consolidated fiscal reports (CFR) Reconcile and submit consolidated claim reports (CCR) to state agencies as needed. -… more
- Centene Corporation (New York, NY)
- …with Encounter team to reconcile difference between MMCOR reporting vs actual claims submission to DOH. This includes providing Supplement E schedule, Non-system ... Claim survey, etc. based on pre-established process, procedure, and...reporting to ensure accuracy, and knowledge level set. + Assistant with Finance Director for ah-hoc based review, paper… more
- New York State Civil Service (Albany, NY)
- …of health care complaints, including, but not limited to billing and claims reimbursement disputes; denials of coverage for medical treatment, prescriptions, and ... medical devices; incorrect processing of medical, mental health and substance abuse claims ; access to specialty and transitional care; termination of health plan… 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 ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
- MTA (Brooklyn, NY)
- …OA/TA Department: General Counsel Division/Unit: Torts Reports to: Deputy Executive Assistant General Counsel/ Assistant General Counsel (I, II, III) Work ... from inception to resolution. + Handle, complex, high-exposure personal injury claims during all phases of litigation, including statutory hearings, depositions,… 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