- Trinity Health (East Greenbush, NY)
- …reconciliation daily. + Report any outstanding claims to contact to ensure all claims are billed timely + Review each claim for appropriate information. + ... Strong orientation program, generous tuition allowance and career development + Office Hours : Monday - Friday **What you will do:** The Revenue Cycle Analyst… 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
- USAA (New York, NY)
- …Investigation Unit (SIU) referrals, when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental/unit ... programs and evaluations, scheduling and timesheets. + Analyzes and identifies claim payment issues, patterns, and root cause; tracks and pursues un-timely,… 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
- Sedgwick (Albany, NY)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more
- Rochester Regional Health (Rochester, NY)
- …and Denials Management Representative LOCATION: SLH DEPARTMENT: Patient Financial Services Hours : 37.5 SCHEDULE: Monday-Friday 8AM-4PM SUMMARY: A Medical Billing and ... Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims , and… more
- WMCHealth (Kingston, NY)
- …+ Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected ... Category: Clerical/Administrative Support Department: Patient Accounting Union: No Position: Full Time Hours : M-F 8a-4p Shift: Day Req #: 44416 Posted Date: Oct 06,… more
- WMCHealth (Kingston, NY)
- …+ Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected ... Category: Clerical/Administrative Support Department: Patient Accounting Union: No Position: Full Time Hours : M-F 8a-4p Shift: Day Req #: 44421 Posted Date: Sep 30,… 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