- Citigroup (Getzville, NY)
- …and product processor systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim is paid /settled; ... & Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market… more
- Independent Health (Buffalo, NY)
- …Experience in navigating multiple systems while interacting with a customer and/or processing claims . + Assume responsibility and adhere to departmental ... Innovation + Retain technical knowledge of Independent Health's customer documentation and claims processing systems to review and maintain member records, as… 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
- Citigroup (Getzville, NY)
- …and product processor systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim is paid / ... is restricted to own team. **Responsibilities:** + Support incoming claim functions including logging the request, investigating the client...up to date and accurate audit trails for all claims + Be prepared for weekly aging sessions to… 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. Contact ... effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials… 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 . ... managing a receivable . Resolve edits to ensure accurate claims are sent to primary and secondary insurances ....complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately handle… more
- 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
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted ... payer and provider representatives to negotiate higher rates for claim payments. 6. Responds to patient and third party...balances to appropriate financial class and provide documentation for processing the claims . 9. Reviews Credit Letter… 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