- Buffalo Hearing & Speech Center (Buffalo, NY)
- …for a variety of billing as assigned individually by the accounts receivable manager . Experience in Medicare and Medicaid HMO's, Commercial payers such as ChampVA, ... flow for organization. + Checks clearinghouse, Availity, for any claims in error edits, corrects, and submits to payer...days). + Work projects as assigned by Accounts Receivable Manager . + Participates in any audits as needed. +… more
- Highmark Health (Albany, NY)
- …dental offices. Formally present and effectively communicate UCD's administrative and claim guidelines and policies, benefits of participation, fee schedules, plan ... ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator.… more
- Cardinal Health (Albany, NY)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- New York State Civil Service (Albany, NY)
- …of health care complaints, including, but not limited to billing and claims reimbursement disputes; denials of coverage for medical treatment, prescriptions, and ... medical devices; incorrect processing of medical, mental health and substance abuse claims ; access to specialty and transitional care; termination of health plan… more
- City of New York (New York, NY)
- …not limited to scheduling witnesses, assigning searches in SharePoint and/or Law Manager , assisting Deputy Counsel, Senior Counsel, and Chief of Staff with projects ... in SharePoint, assisting with new hire onboarding and other tasks as needed. CLAIM SPECIALIST - 30726 Qualifications 1. A baccalaureate degree from an accredited… more
- CDM Smith (Buffalo, NY)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Highmark Health (Albany, NY)
- …to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, ... wellness studies, predictive modeling, benefit benchmarking, claim reserving and strategic client support that is both client facing and supportive to Sales… more
- Transdev (Hillburn, NY)
- …safety evaluation logs, files and tracking of safety reports. + Assist the Safety Manager in working with corporate claims staff to ensure that all liability ... recoup on all claims subject to subrogation. + Assist the Safety Manager in the complete and accurate documentation of safety activities and the accurate… more
- City of New York (New York, NY)
- …a permanent Civil Service title of Administrative Engineer, or Administrative Project Manager , or Administrative Construction Project Manager ; or, those who are ... on the civil service list for Administrative Engineer, or Administrative Project Manager , or Administrative Construction Project Manager title. To be considered… more