- City of New York (New York, NY)
- …Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when ... in the best interest of the city, settles pre-litigation claims for and against the City of New York. In resolving claims before litigation is commenced, BLA… more
- CVS Health (Albany, NY)
- …with key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic ... are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and...variances, and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the… more
- M&T Bank (Getzville, NY)
- …execute day to day functions including filing and monitoring the insurance claim process for damaged properties, registration and deregistration of properties that ... might occur in the near future. + Respond to FHA demands, including BCDE Claims , and all other claims besides principal. Provide additional documentation as… more
- Broadview FCU (Albany, NY)
- …or monetary loses due to non-compliance. + Process Share Draft dispute and fraud claim requests in accordance with the check processing rules and department ... well as industry developments, regulatory changes, and compliance. + Processing Check Fraud claims timely adhering to...changes, and compliance. + Processing Check Fraud claims timely adhering to all security controls and regulatory… more
- New York State Civil Service (Menands, NY)
- …applicable. Responding to claim -specific questions may require reviewing and processing claims , performing database searches using information provided by ... claimants; identifying and linking additional claim properties; determining and requesting in writing required proof and documentation; and recommending payment… more
- Molina Healthcare (Buffalo, NY)
- …concisely and accurately in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- Molina Healthcare (Rochester, NY)
- …managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and modifier usage. + Strong ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more
- Justworks (New York, NY)
- …out internal resources (help articles, training decks, etc.) + Handle the processing of unemployment claim -related documents through the Non-State Information ... Operations and Verifications Coordinator, you will assist the Unemployment Insurance Claims Team with resolving state inquiries (including child support fact-finding… more
- TEKsystems (Rochester, NY)
- Description SBO-Single Business Office - Corrects Error or Edits needed to get claim out - Incorrect, patient id, Diagnosis code isn't accepted, payer etc. - Will be ... back office and verification work. -Will be using Excel heavily and will be processing new information through patient accounts. - If any information is missing they… more
- WMCHealth (Valhalla, NY)
- …diploma and four years of clerical experience, one year of which included the processing of patients' medical insurance claims as the primary function of the ... year. There is no substitution for the one year of specialized experience processing patients' medical insurance claims . *Special Note: Education beyond the… more