- University of Rochester (Rochester, NY)
- …insurance coding denials for resolution. **ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to review codes created by electronic charge ... codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal. + Troubleshoots problems… more
- University of Rochester (Rochester, NY)
- …record system , appointment scheduling system , and Operating Room scheduling system and other systems as needed. TYPICAL DUTIES: Provider Assistant - ... signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider… more
- New York State Civil Service (Rensselaer, NY)
- …matters involving fiscal transactions. The Bureau also prepares and files all federal claims for the agency, reconciles all federal grant awards, and prepares all ... Central Office Cost Allocation plans. Under the general direction of an Associate Accountant, the duties of the position may include, but are not limited to:? Review… more
- Molina Healthcare (Albany, NY)
- …Bertha + Outreach to the appropriate party to report any benefit, authorization, claim or eligibility related issue + Prepare information for member case status ... Conduct and collaborate on creating action plans for member barriers + Review system related tasks and email instructions throughout the day for management of daily… more
- City of New York (New York, NY)
- Job Description MUST BE PERMANET IN THE CIVIL SERVICE CLERICAL ASSOCIATE TITLE OR IF YOU ARE HIRED PROVISIONALLY AS A CLERICAL ASSOCIATE , YOU MUST TAKE AND PASS ... directly into WMS from PAM. Centralized Data Entry is recruiting for (1) Clerical Associate III to function as a PAM Data Entry Clerk, who will: - Review… more
- Humana (Albany, NY)
- …clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key ... or managed care working experience + Experience working with medical, pharmacy, lab claims + Experience working with big data and using PySpark, Spark R or… more
- Wright Beverage Distributing Corp. (Rochester, NY)
- …HRIS accuracy, coordinates recruitment logistics, handles offboarding and unemployment claims , and supports compliance activities. Acting as a central liaison ... and resolve inquiries + Manage offboarding processes, including exit paperwork, system access removal, benefits/COBRA notifications, and return of company property +… more
- University of Rochester (Rochester, NY)
- …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and ... provider satisfaction results. + Reports errors through hospital error reporting system (RL solutions) and contribute to quality improvement initiatives. + Assists… more
- CUNY (Queens, NY)
- …accounts and in performing reconciliations. - As instructed, examines invoices, claims , vouchers, etc.; verifies documents for accuracy by reviewing supporting data ... logs and issues pertinent receipts. - Assists in processing invoices, vouchers, claims , statements, bills, etc. - Perform various calculations and computations, as… more
- Lowe's (Syracuse, NY)
- …Cross-Dock Terminal (XDT) Lowe's associates. You'll handle inventory flow, manage associate schedules and tasks, and resolve customer escalations. Other integral ... + Interview, hire, and train associates on Home Delivery processes and systems . + Motivate and manage associates daily, creating and promoting daily schedules.… more