- Excellus BlueCross BlueShield (Dewitt, NY)
- …off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with MTM, Corporate Service strategy, NCQA, ... First Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other complex… more
- Sunrise Senior Living (Glen Cove, NY)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... knowledge, skills, and abilities required. + Associate degree or bachelor's degree preferred or a minimum of two (2) years' experience in business finance/accounting… more
- Research Foundation CUNY (New York, NY)
- …regents exams. Science regents will now test students' ability to incorporate claim evidence reasoning, reading comprehension, and analysis of diagrams and models to ... relates to society. Topics will cover understanding scientific evidence, evaluating claims , and applying scientific knowledge to real-world situations- all important… more
- Highmark Health (Albany, NY)
- …communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Stony Brook University (East Setauket, NY)
- …setting such as revenue cycle, medical billing, or follow-up experience. ** Preferred :** + Experience with Inpatient and Outpatient billing requirements (UB-04/837i) ... Experience in utilizing insurance websites to check for eligibility and claim status. + Experience investigating, reviewing and following-up on rejected/denied… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient accounts, ... a medical billing setting. Will consider equivalent combination of education and experience. Preferred Qualifications: Work Days: Monday - Friday 8:00 am - 4:30 pm… more
- Glens Falls Hospital (Glens Falls, NY)
- …Your Potential* *Responsibilities* * Corrects pre-billing edits and ensures outbound claim compliance Follow-up on A/R in accordance with pre-established goals/ ... payer websites, and provider representatives * Promptly resolve denied claims with a goal of one touch resolution *...AAS in health administration, business, finance, or related field preferred ** *Experience/Abilities* . At least two (2) years'… 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
- Oak Orchard Health (Brockport, NY)
- …the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through ... the third-party billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working closely… more
- MTA (New York, NY)
- …reduce the MTA's cost of risk through risk analysis and transfer, claims management practices, captive financial planning, insurance program placement, and other ... handling All Agency Fiduciary, Fidelity, and agency property insurance claims ( Claims valued over $100 million are...current trends in risk management. The F ollowing is/are preferred : + Master's degree in a related field. +… more