- Access: Supports For Living (Middletown, NY)
- …revenue management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, ... issues + Handling billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing + Analyze, billing and processing program claims for… more
- Arc Allegany-Steuben (Hornell, NY)
- …requirements. Financial Management + Review, prepare, and submit Self Direction billing claims through eVero on a monthly basis. + Cross-check units utilized against ... confirm services do not exceed participant allocations. + Reconcile denied or rejected claims , correct errors, and resubmit promptly to ensure timely payment. + Run… more
- Ellis Medicine (Schenectady, NY)
- …EXPERIENCE REQUIREMENTS: + Education: High School Diploma or Equivalent required. Associate 's degree preferred. + Experience: 2 years of accounts receivable ... outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to...correction if there is a registration error or missing claim form. + Once all errors have been identified… more
- Healthfirst (NY)
- …provider claims , pre-payments and post-payments including high-dollar and specialized claims across multiple lines of business, claim types and products.** ... to ensure the quality of the network.** + **Review and investigate claims and encounters for medical, facility, pharmacy, dental and vision services including… more
- Allied Universal (Bronx, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and communication with Insured, Insured's family, care providers, and monitoring of claim submission and processing. All work is directed under the terms and ... of services as is deemed necessary. + Evaluates submitted claims to determine if services billed and provided are...insurance contract. + Reviews the Insured's benefit file and claim payment to encourage timely submission and adjudication of… more
- City of New York (New York, NY)
- …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The ... deliver critical services effectively and meet DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the Assistant Director and be… more
- Humana (Albany, NY)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- CVS Health (Albany, NY)
- …+ Clinical background a plus. + Experience with Aetna and CVS products, claim systems, and digital member applications. + Associate degree or equivalent ... as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more