- EFI Global (Syracuse, NY)
- …and RESPONSIBILITIES** **Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of ... the assignment.** **Determines the origin and cause of the loss/ claim under investigation and identifies any potential third-party responsibility for subrogation… more
- The Robison Group (Garden City, NY)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... results (except when undergoing documented medical treatment). + College Degree preferred . TRAINING The Robison Group provides remote training to ensure that… more
- Mount Sinai Health System (New York, NY)
- …HIS Systems, Clearing House Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims to third party payers ... **Job Description** **Accounting Clerk- Patient Financial Services (Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the… more
- Mount Sinai Health System (New York, NY)
- …proficiency in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + HS/GED; Associates Degree is preferred ... + **1-2 years of experience in medical billing or health claims , with experience in billing systems in a health care or insurance environment, and familiarity with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... **Qualifications** + Associate?s degree or equivalent work experience. Bachelor?s degree preferred . + 3 years of directly related experience. 1 year in… more
- New York State Civil Service (Syracuse, NY)
- …of relevant information technology, including but not limited to the Investigator Mobile Application, IC2, CIS and Insurance Compliance Investigation Maintenance; ... Compensation Law as relates to enforcement unit procedures and related claims processes. Stay abreast of enforcement-related Workers' Compensation Board program… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... compliance risks. **Qualifications** Education Requirements ? HS/GED; Bachelors strongly preferred . Additional experience needed in addition to ?experience requirements?… more
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred . **Responsibilities** 1. Follows up on submitted ... Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner....payer and provider representatives to negotiate higher rates for claim payments. 6. Responds to patient and third party… more
- New York State Civil Service (New York, NY)
- …Eligible titles include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, ... underwritten* Analyze previous loss and premium data* Experience rating data and claims material to price coverage* Define, restrict, or qualify policy coverage*… more
- Mount Sinai Health System (New York, NY)
- …encounters and performed procedures. Develops methodologies to follow up on claim denials and correspondence. Participates in systems, financial, and medical billing ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more