- 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
- Catholic Health (Buffalo, NY)
- …in lieu of degree EXPERIENCE + In depth knowledge of Epic Systems, specifically Claims and Remittance processing . Strong beginner to intermediate EPIC Claims ... and technology method of transformation. Supports the organizations Revenue Cycle claims and remittance process. Identifies and implements EPIC and/or 3rd Party… 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
- New York State Civil Service (Liverpool, NY)
- …Insurance Fund, State Title Assistant Insurance Fund Services Representative - Claims - Hearings Division (Hearings Support) (NY HELPS) Occupational Category ... and pay Magna and subpoena process server bills over the straight through processing (STP) limit* Assist with large billing projects, add subpoena documents and… 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...three Eligibility Specialist level III to function as Group Processing Workers, who will: - Confirm accuracy of data… more
- Paychex (Rochester, NY)
- …guidance and direction, provides customer service for the Paychex Insurance Renewal Processing team. Uses prescribed guidelines to ensure good customer relations are ... maintained and customer claims and complaints are resolved fairly, effectively, and in accordance with Paychex policies and procedures. Responsibilities + Delivers… 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
- Rochester Regional Health (Rochester, NY)
- …and authorization details. + Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate . ... effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. ? Experience in ... working with insurance plans and understanding of claim adjudication processes. Non-Bargaining Unit, E01 - Partner MSO...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
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