- Guidehouse (New York, NY)
- …of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. ... needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific...Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review… more
- Tutor Perini (New Rochelle, NY)
- …visa sponsorship now or in the future** Frontier-Kemper, a Tutor Perini Company , is seeking a **Change Control Manager** to join our Kensico-Eastview Connection ... all changes from initiation through negotiation and final approval. + Investigate potential claims , such as delays, unforeseen conditions, or extra work. + Prepare … more
- 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, ... the A/R Manager, the Senior Billing Specialist is a key position in the financial management of the company . The Senior Billing Specialist supports all billing and… more
- Cardinal Health (Albany, NY)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Sedgwick (Albany, NY)
- …Services & Insurance Executive General Adjuster **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... including handling accounting-based losses (business interruption and stock). + Examines claim form and other records to determine insurance coverage. + Interviews,… more
- Sedgwick (Albany, NY)
- …Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... including handling accounting-based losses (business interruption and stock). + Examines claim forms and other records to determine insurance coverage. + Interviews,… more
- CVS Health (Albany, NY)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through...in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases… more
- Sedgwick (Buffalo, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- TEKsystems (Rochester, NY)
- …and 1500F05 specific payer requirements preferred Job Description -Review and accurately process claim edits in a system work queue. Accurately handle claim ... adjustments and coverage changes as needed. -Review and process claim denials according to established processes. Research and resolve denial issues via the payer… more
- Allied Universal (Buffalo, 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