- University of Rochester (Rochester, NY)
- …received. + Documents all actions thoroughly in visit notes. 30% Corrects claim errors returned post-submission. + Reviews claims requiring non-routine ... of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claim Resolution Rep II is responsible for the accurate and timely… more
- Tutor Perini (White Plains, NY)
- …future Frontier-Kemper, a Tutor Perini Company, is seeking a **Change Control Manager ** to join our Kensico-Eastview Connection Tunnel Project in White Plains, New ... **_Extraordinary Projects need Exceptional Talent_** **DESCRIPTION:** As a **Change Control Manager ** at Frontier-Kemper, reporting to the **Project Manager ,**… more
- Molina Healthcare (Syracuse, NY)
- …background in payment integrity-either at a health plan or vendor-is strongly preferred . **Knowledge/Skills/Abilities** + Review Medicaid COB claims for correct ... Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination… more
- Heritage Ministries (Gerry, NY)
- …do. Heritage Ministries is in growth mode and currently seeking an Accounts Receivable Manager to join our team. The Accounts Receivable Manager will be ... team, overseeing the day-to-day account receivable functions including charge input, claims submission, payment posting, and denial management to ensure accurate and… more
- University of Rochester (Albany, NY)
- …pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates with ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- Mount Sinai Health System (New York, NY)
- …with the Department Administrator. Reports to Billing Manager /Revenue Cycle Manager . **Qualifications** + Associates Degree preferred + 5 years experience ... Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with… more
- Catholic Health (Buffalo, NY)
- …Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), and/or claim adjuster licensure preferred EXPERIENCE + Minimum of three (3) ... (IDM) position is responsible for monitoring and aggressively managing claims leaves, and absences associated with occupational and non-occupational injury… more
- Amgen (New York, NY)
- …us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - New York** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and… more
- Independent Health (Buffalo, NY)
- …related phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. ... interpret basic COB information as it relates to Independent Health's obligation for claim payment and follow New York State Rules & Regulations, NAIC Guidelines,… more
- World Insurance Associates, LLC. (Slingerlands, NY)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... Review all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries + Coordinate expiration list with department … more