- Sunrise Senior Living (Hicksville, NY)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... Process payroll and follow established business processes and "Do It Daily" processing activities and submit accurate bi-weekly payroll by established schedule. +… more
- Racker (Ithaca, NY)
- …Generates reports to track utilization data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends and generates reports for ... with new-hire orientations - to include providing benefits information and processing clearances. + Performs quality checks of benefits-related data, including PPACA… more
- CVS Health (Albany, NY)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical ... of problem solving and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High School Diploma or equivalent… more
- City of New York (New York, NY)
- …& CGMS team (GRC). GRC's mission is to oversee the timely planning, preparation, processing and submission of NYCDOT's claim reimbursement requests to the New ... (PS) and Other Than Personnel Services (OTPS) expenses related to the reimbursement claims incurred in the DOTs expense budget. - Become proficient in the use… more
- SUNY Morrisville (Syracuse, NY)
- …competencies. Teach core topics including: + Medical terminology and anatomy + Insurance claims processing + Coding systems (ICD-10-CM, CPT, HCPCS) + Electronic ... Health Records (EHR) and claim submission + Compliance, HIPAA, and fraud prevention + Reimbursement methodologies and payer systems Prepare students for the AMBA… more
- Access: Supports For Living (Middletown, NY)
- …collections, and payment processes. + Maintain a clear understanding of claims processing , payer denials, and appeals. + Prepare recurring ... evaluate billing team productivity through KPIs: total revenue, collection rates, AR days, and claim denials. + Set and track goals for aging AR reduction and cash… more
- Evolent (Albany, NY)
- …of Actuaries credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
- Westchester Jewish Community Services (White Plains, NY)
- …Care, Medicaid and 3rd Party Insurance. This position ensures timely and accurate processing of claims , collections, and account reconciliations to support the ... billing for Managed Care, Medicaid, and Third-Party Payers, ensuring timely claim submission, editing, transmission, and verification. + Post insurance carrier… more
- MTA (New York, NY)
- …assists clerical/administrative staff in handling subpoenas, service of process, claims handling/ processing , bankruptcy searches of toll violators, scheduling ... toll revenue, as well as oversees the intake and processing of legal papers served on the TBTA, reviewing...Insurance Management, and other MTA Departments and subsidiaries in claims /litigation by contractors and third parties. + Assists relevant… more
- Intermountain Health (Albany, NY)
- …data to the clinical record. Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts. + Evaluates, ... Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position… more