- Albany Medical Center (Albany, NY)
- …Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, ... + Knowledge in billing codes and EDI requirements. + Knowledge of electronic claims processing and edits. + Excellent decision-making skills, detail oriented,… more
- Catholic Charities of the Dioscese of Albany (Albany, NY)
- …closeout reports + Update the Schedule of Expenditures of Federal Grants (SEFA) + Claims processing + Reconcile all 1115 Waiver bills submitted to funders with ... Your Career? Be the Change: Become the 1115 Waiver Grants/ Claims Manager at Catholic Charities! Are you ready to...into a meaningful leadership role as our 1115 Waiver Grants/ Claims Manager , where you'll have a direct hand… more
- Sedgwick (Albany, NY)
- …from an accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner. Familiar with CPT, ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do… more
- Albany Medical Center (Albany, NY)
- …preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, ... and have the ability to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials.Able to communicate effectively and successfully with team members, providers, contractors, payors, and their Leadership group daily.… more
- City of New York (New York, NY)
- …Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop the operational activities ... of DFRP, ICP and SNAP-CR Directors as they administer their specific program areas which are responsible for initiating adverse actions on cash assistance cases due to information obtained via computer matches, sanctioning individuals who fail to cooperate… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** Responsible for collecting, storing, processing , and analyzing large sets of data. The primary focus will be on choosing optimal ... tools such as Python, Ruby or Perl. * Experience in building stream- processing systems, using solutions such as Kafka, Storm or Spark-Streaming * Experience… more
- City of New York (New York, NY)
- …statutory, regulatory, and contractual standards. The Division of Financial Review and Processing (DFRP) is responsible for the initiation of adverse actions on cash ... of the Bureau of Fraud Investigation, Liens and Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their...seven Eligibility Specialist level IIIs to function as Group Processing Workers, who will: - Confirm accuracy of data… more
- University of Rochester (Albany, NY)
- …of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. + Escalates system issues preventing claims ... through telephone calls, payer website, and written communication to ensure accurate processing of claims . + Collaborate with appropriate departments to generate… more
- University of Rochester (Rochester, NY)
- …informed of trends. + Remains current on changes in billing requirements associated with claim processing and coding. 5% + Escalate issues that may prevent ... through telephone calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established procedure for missing… more
- GE Aerospace (Schenectady, NY)
- …Microsoft Office Suite and ability to navigate other business-related software, including claim processing systems and applications. + Excellent written and oral ... In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology.… more