- Cardinal Health (Albany, NY)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...+ HS, GED, bachelor's degree in business related field preferred , or equivalent work experience preferred +… more
- Allied Universal (Bronx, NY)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
- ConvaTec (Massapequa, NY)
- …requires some explanation or interpretation. **Key Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid, commercial and private ... prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial ... team focused, service driven, accountable, and innovative every day. + Track claim status using payer portals and billing software; investigate and resolve… more
- Elderwood (Buffalo, NY)
- …+ Skilled nursing facility, assisted living facility and private pay pharmacy claim billing + Troubleshoot rejected insurance claims resulting in payments ... Bill/Invoice Review + Medicaid Pending Status Review + Medicaid claim rebilling + Updated Skilled Nursing Facility Census and...long term care or hospital. + Experience with Pharmacy claims and various types of pharmacy billing preferred… more
- Cardinal Health (Albany, NY)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- MVP Health Care (Rochester, NY)
- …virtual, in Schenectady or Rochester, NY + 1-2 years of data entry or claims experience preferred . High accuracy and attention to detail. + Strong data ... entry skills (5,000-7,000 keystrokes per hour preferred ). + Proficiency in Microsoft Word and Excel. +...Word and Excel. + Familiarity with medical terminology and claims processing. + Curiosity to foster innovation and pave… more
- Elevance Health (Middletown, NY)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...network contracting. **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review,… more
- Catholic Health (Williamsville, NY)
- …encounters are accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and contracted payer ... limited to, the following : (1) Review of all claims for accuracy of demographic and charge information (2)...the first fourteen days of follow up on the claim to ensure proper receipt of the claim… more
- Molina Healthcare (Yonkers, NY)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more