- City of New York (New York, NY)
- …million people in Upstate New York and has a wastewater conveyance and treatment system capable of processing over 1.3 billion gallons of wastewater per day to ... findings; and a discussion of findings and conclusions. Conduct investigations of claims by DEP employees received through the Employee Concerns Hotline or other… more
- Humana (Albany, NY)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes to ensure successful submission and reconciliation of encounter submissions… more
- Northwell Health (New Hyde Park, NY)
- …but considered related are not essential functions. Job Qualification + Associate 's Degree required, or equivalent combination of education and related experience. ... common commercial payer policies and reimbursement methodologies. + Coding Systems expertise in ICD-10 and HCPCS codes + Strong...Correct Coding Initiative (NCCI) edits and their impact on claims + Ability to analyze large datasets (eg, … more
- City of New York (New York, NY)
- …work performance and ensuring any necessary training on fiscal procedures and systems is provided. The Director's responsibilities will also include: developing and ... materials; managing all grant-related activities including expenditures; deliverables, fiscal claims , evaluations, and reporting; and providing guidance to partner… more
- Highmark Health (Albany, NY)
- …to work closely with the section's Accountant, Accounting Coordinators, Associate Analyst, providing, guidance, feedback, training, motivation, and support. This ... receipts, checks, invoices, amounts, group numbers, etc., using the Billing system , Maintenance of bank lockbox accounts, Developmentand analysis of aging reports,… more
- University of Rochester (Albany, NY)
- …requests for medical information. **ESSENTIAL FUNCTIONS** + Uses thorough knowledge of coding systems and system logic to review codes created by electronic ... Reviews and resolves coding denials. + Resolves problems with claims having errors related to improper coding and provides...Abstracts data and reviews codes for accuracy. + Performs system edit checks and corrects errors as needed. +… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Key responsibilities include: Liaison Responsibilities: Assist in coordinating small claims paperwork in collaboration with the NYS Attorney General's Office. ... improving the patient and family experience across the healthcare system . Minimum Qualifications: Bachelor's degree with a minimum of...a minimum of three years of relevant experience or Associate degree with five years of relevant experience in… more
- University of Rochester (Rochester, NY)
- …medical information. JOB DUTIES AND RESPONSIBILITIES: - Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge ... - Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides...- Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed. -… more
- Tompkins Community Bank (Attica, NY)
- …+ Overall account management-utilizing TIA procedures, AMS, Image Right & all TIA systems + Utilize PL Rater when preparing quotes in fulfilling clients' needs and ... expectations + Complete service requests including but not limited to claims , premium payments, policy endorsements, identification card issuance, photo & property… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE The Office of Revenue Management and Development ... Bureau of Case Integrity & Eligibility Verification's (BCIEV) mission is to identify system enhancements to improve claiming and to avoid overpayments, as well as… more