- The Institute for Family Health (New Paltz, NY)
- …and facilitates resolution. + May be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be ... denials are at optimal levels + Ensure daily/weekly/monthly medical claim submission. Resolve claim and remittance file...CPT and ICD-10 Diagnosis coding + Proficiency in EPIC claims processing workflows preferred + Ability to… 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
- GE Vernova (Schenectady, NY)
- …to work cross-functionally and drive process improvements. + Knowledge of ERP or claim tracking systems is preferred (eg, SAP, Oracle). + Familiarity with ... (NAM) region. In this role, you will manage warranty claims with a focus on reducing cycle time, ensuring...timely processing and closure. + Drive reduction in warranty claim cycle time by identifying and eliminating process inefficiencies.… more
- Allied Universal (Staten Island, 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
- Citigroup (Getzville, NY)
- …and product processor systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim is paid /settled; ... & Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market… more
- Cognizant (Albany, NY)
- …you will make an impact by managing and resolving physician claim denials through advanced problem-solving, including identifying root causes and implementing ... **In this role, you will perform:** + **Resolution of Claim Denials** : Perform advanced work related to resolving...+ **Education** : HS Diploma. Associate or bachelor's degree preferred . + **Technical Skills** : Proficiency in Excel, payer… more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments… 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
- Robert Half Finance & Accounting (New York, NY)
- … claims to ensure effective resolution and settlement. + Monitors claim -handling performance, supervising the Claims Manager to ensure efficient operations. ... service agreements with brokers, presenting recommendations for approval to the HSO. Claims and Administrative Oversight + Works alongside Finance and Legal teams to… more
- New York State Civil Service (Albany, NY)
- …Duties Description The Pre-investigation Unit (PIU) has the responsibility of reviewing every claim of labor law violation, submitted to and under the purview of the ... have worked in NYS. The PIU staff review incoming claims and accept, reject, or recommend that claims...redress. If accepted by NYSDOL, PIU recommends where the claim should be routed for investigation. This pre-investigative work… more