- Access: Supports For Living (Middletown, NY)
- …identified revenue cycle billing issues + Handling billing cycle review procedures for pre- processing (scrubbing) of weekly claims processing + Analyze, ... throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim ...billing and processing program claims for accuracy and completeness; submit claims … more
- Robert Half Accountemps (Rochester, NY)
- …you will play a critical role in managing billing operations and ensuring accurate processing of medical claims . This opportunity is ideal for professionals with ... processes and collection strategies. * Expertise in appeals and claim administration to address denied claims effectively....appeals and claim administration to address denied claims effectively. * Advanced skills in Microsoft Excel for… more
- Highmark Health (Albany, NY)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing /submission/payment. **Preferred** + Associate degree + Pharmacy technician ... inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly… more
- Leviton (Melville, NY)
- …recording and application of all customer cash receipts and the posting of claims and chargebacks. This role will evaluate, process, and resolve customer deductions ... generating resolution effort reports in Excel to highlight trends and track claim outcomes. Collaborate with outside sales, logistics, warehouse, and customers to… more
- Molina Healthcare (Buffalo, NY)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments...years operational managed care experience (call center, appeals or claims environment). + Health claims processing… more
- Molina Healthcare (Yonkers, NY)
- …payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is ... maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates...**Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims … more
- Leviton (Melville, NY)
- …eager to learn. The Deduction Representative I is responsible for evaluating, processing , and resolving customer claims (deductions), working together with ... team is looking for a Deduction Representative I to join the Credit, Accounts Receivable & Claims department. We need individuals who thrive on challenges and are… more
- Molina Healthcare (Buffalo, NY)
- …pricing configuration, claim adjudication or reimbursement processes + Experience processing or reviewing facility claims + Prior professional experience ... vendor, operations, health plan representatives, and other business teams involved in claim processing . Maintains expertise in all forms of reimbursement… more
- City of New York (New York, NY)
- …VA Claims , Provide Veteran Benefits Counseling: Possess high-level knowledge of processing claims for Veteran benefits from the VA. Trainings and ... In addition, the Senior Executive Director will also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how to… more
- Dairy Farmers of America (East Syracuse, NY)
- … output to ensure accuracy of initial billing + Process requests for claims . Analyze claim submission to ensure accuracy and completeness of information ... and eligibility for recovery. Submit approved claims to insurance carrier. Track claim through claim payment, intervening as necessary to ensure timely,… more
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