- Excellus BlueCross BlueShield (Rochester, NY)
- …from the first Monday in June to the second Friday in August (up to 40 hours per week). + May reside in either a technical or non-technical area. + Development ... development of rate or Medicare bid filings through analysis of benefit designs, claims experience, and expected future events. + Assists in preparation of accurate… more
- Humana (Albany, NY)
- …of business. The Market Finance Lead supports all Market Financial, Administrative, Product, Claims and trend analytics. This position is the team lead for all ... 3+ years of healthcare experience + Strong knowledge of claim -line level healthcare data + Preference for candidates to...for training or meetings may be required. **Scheduled Weekly Hours ** 40 **Pay Range** The compensation range below reflects… more
- Westside Federation for Senior Supportive Housing (New York, NY)
- …and NYCHA Reports, etc.) + Review and reconcile client final accounts and move out claims (eg, Final Bills for tenants, vacancy claim submission to HUD.) + ... a week and one day working from home. (35 hours ) Job Duties & Responsibilities Responsibilities include but are...carrier status, or any other protected characteristic as established by law. Monday- Friday 9am - 5pm (35) hours … more
- Sunrise Senior Living (Glen Cove, NY)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... laws/provincial labor/labour laws, and Sunrise timekeeping policies in recording/punching hours worked. + Process payroll and follow established business processes… more
- University of Rochester (Rochester, NY)
- …14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours : 40 Department: 500003 Patient Financial Services-PAS Work Shift: UR - Day ... RTP are required. Remote location must be within 2 hours of RTP and within New York State. **ESSENTIAL...+ Resolves flagged reports to ensure timely submission of claims to payers. + Monitors and ensures worklists are… more
- University of Rochester (Rochester, NY)
- …America, 14623 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours : 40 Department: 920706 Dentistry Central Billing Work Shift: UR - Day ... equity considerations._ **Responsibilities:** GENERAL PURPOSE Performs charge review and claim edit resolution functions for rendered services from an inpatient… more
- CVS Health (NY)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... metrics **Required Qualifications** + 3-5 years of experience in a medical claim background with demonstrated ability and strong understanding of benchmarking costs… more
- Glens Falls Hospital (Glens Falls, NY)
- …Your Potential* *Responsibilities* * Corrects pre-billing edits and ensures outbound claim compliance Follow-up on A/R in accordance with pre-established goals/ ... payer websites, and provider representatives * Promptly resolve denied claims with a goal of one touch resolution *...full-time and part-time employees who work at least 30 hours per week, can be found here. **Job:** **Professional… more
- University of Rochester (Rochester, NY)
- …America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours : 40 Department: 910401 Patient Self-Pay Services Work Shift: UR - Day ... party payer issues. **ESSENTIAL FUNCTIONS** + Reviews reports of unbilled cash claims , self-pay plans not final billed, hold bill worklists, statement edits, credit… more
- Mohawk Valley Health System (Utica, NY)
- …the enterprise. Core Job Responsibilities + Investigates, tracks, and resolves drug-related claim denials and billing exceptions across multiple sites of care. + ... of 340B Drug Pricing Program, third-party payer billing guidelines, or pharmacy claims reconciliation. + Familiarity with Epic, Cerner, or other EMR platforms used… more
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