- CDM Smith (Albany, NY)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower level staff....accounts, resulting in payment or resolution of the outstanding claim . The Specialty A/R associate will utilize MFG and/or… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... compliance risks. **Qualifications** Education Requirements ? HS/GED; Bachelors strongly preferred . Additional experience needed in addition to ?experience requirements?… more
- Molina Healthcare (Albany, NY)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Evergreen Health (Buffalo, NY)
- …community. The Billing Specialist is primarily responsible for processing insurance claims , which includes submitting claims , posting payments, reviewing ... Essential Functions of this role, the Billing Specialist : + Submits clean claims to insurance companies and meets timely filing requirements. + Posts insurance… more
- CDPHP (Latham, NY)
- …the timely and accurate facilitation and handling of all incoming paper claim and correspondence documents. All tasks are performed on-site. This includes performing ... a detailed mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with all New York State… more
- UHS (Binghamton, NY)
- … status, rebill, or adjust open balances as needed. + Analyze electronic claim rejection reports, correct errors, and resubmit claims promptly for reimbursement. ... Range: $17.05 - $22.17 per hour, depending on experience Job Responsibilities: + Review claim status in EPIC and resolve billing edits to ensure timely claim … more
- The Institute for Family Health (New Paltz, NY)
- …on annual changes. + May be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + Maintains ... + Provides clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets as directed… more
- New York State Civil Service (Buffalo, NY)
- …firefighting, volunteer ambulance workers, or paid family leave discrimination claims using a stenographic machine and computer-aided transcription, specifically ... volunteer firefighting, volunteer ambulance workers, discrimination, or disability benefits claims contemporaneously with the speaker reflecting a true and accurate… more
- Travelers Insurance Company (Albany, NY)
- …key decisions. You will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate your findings and ... B&SI reserving team embraces innovative methods, such as advanced claim level models, you'll play a key role in...the Financial Institutions business unit. + Work with the Claims department to ensure best estimates are appropriately reserved… more
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