- University of Rochester (Rochester, NY)
- …information. - Follow up on unpaid accounts- - - For unpaid accounts, check claim status on appropriate payer systems or contact an insurance representative to ... for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a...of credits - - Review and advise supervisor or manager on trends of incorrectly paid claims … more
- Mount Sinai Health System (New York, NY)
- …the forefront of implementing Facility and Ancillary Contracts across the Mount Sinai Health System . MSHP seeks a **Senior Contract Manager Analyst** will play a ... Revenue Cycle team to integrate contract terms into billing, claims , and payment systems . + Provide support...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- …gross, days in A/R and net collection ratios are met. 4. May analyze claims system reports to ensure that underpayments are correctly identified and collected ... Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner....System is one of the largest academic medical systems in the New York metro area, with more… more
- Travelers Insurance Company (New York, NY)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel...by adhering to quality standards. + Utilizes diary management system to ensure that all claims are… more
- University of Rochester (Rochester, NY)
- …information. + Follow up on unpaid accounts- - - For unpaid accounts, check claim status on appropriate payer systems or contact an insurance representative to ... for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a...refund of credits + Review and advise supervisor or manager on trends of incorrectly paid claims … more
- University of Rochester (Rochester, NY)
- …in visit notes. 30% Corrects claim errors returned post-submission. + Reviews claims requiring non-routine correction in payer system to determine method of ... Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer...of payer billing software makes corrections directly in payer system . + Identifies non-routine problems for claims … more
- University of Rochester (Rochester, NY)
- …software) fax/scanner, Microsoft Word, Excel, Access, Email, third party claims systems (ePaces, Connex), Epic Billing System , and various payer web sites. ... state regulations bringing concerns to the attention of billing Manager and Supervisor. The Claim Resolution Rep...insurance refund credits. + Review and advise supervisor or manager of trends on incorrectly paid claims … more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... **Job Description** **Patient Accounts Manager (Billing Project Management) Patient Financial Services- Corporate-...of all manual charge postings into the patient accounts system . Interacts with departments that put data into patient… more
- Molina Healthcare (Syracuse, NY)
- … System Migrations **Preferred Experience** 6 - 8 years working in a claims processing system . Health care environment experience. To all current Molina ... leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... **Job Description** The Clinical Risk Manager in the Department of Risk Management and...day risk management activities for The Mount Sinai Health System , including investigating, managing and analyzing risk management data;… more