- UHS (Binghamton, NY)
- …this role, you will investigate, analyze, and resolve denied insurance claims -ensuring timely reimbursement and supporting the financial integrity of our ... providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join a team where...guidelines and timelines. + Analyze and document trends in claim denials, identifying patterns related to payor behavior, system… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… more
- Mount Sinai Health System (New York, NY)
- …in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred . + Minimum 7-10 years ... ensure optimized processes deliver measurable improvements in cost-to-collect, clean claim rates, denial reduction, and cash acceleration. 4. Workflow… more
- Kelly Services (New York, NY)
- …statistics contained in the reporting packet. + Maintain knowledge of ongoing claim issues with funding reinsurance, etc.; proactively identify services issues and ... existing groups. + Communicate with the client on large claim situations and what oversight/management the company will provide....company will provide. + Resolve group level issues with claims , funding, eligibility etc. as needed by enlisting the… more
- New York State Civil Service (Albany, NY)
- …SAMS software program to perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use in aid calculations and ... implementation of guidelines and procedures, and risk-based analysis for post-edit claim verification projects;* Process revisions to school districts' prior year… more
- CVS Health (Albany, NY)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... accounting system, including accounts receivable, accounts payable, auditing, and billing. ** Preferred Qualifications** + Resides in Amherst, New York, with the… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …bad debt processing + Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up + Track and re-bill pending Medicaid accounts + ... Re-bill claims as needed + Identify pattern problems (improper patient...Requirements:** + Required: High School Diploma or GED + Preferred : Associates Degree or Higher in Accounting or related… more
- Independent Health (Buffalo, NY)
- …PC and Windows experience required, including typing skills. + Familiarity with on-line claim systems preferred . + Demonstration of math aptitude for purposes of ... position. **Qualifications** + High School diploma or GED required; Associates degree preferred . + Six (6) months experience handling self-funded pharmacy calls or… more
- The Wesley Community (Saratoga Springs, NY)
- …in the heart. Primary Job Duties: + Responsible for timely and accurate insurance claim submissions for all payer types. + Monitor and maintain aging reports for ... outstanding claims . Respond to and resolve insurance claims ...Experience with Healthcare billing software Point Click Care (PCC) preferred . + Experience with insurance clearinghouses such as Waystar… more
- 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