- Kelly Services (Rochester, NY)
- …prepare completed forms for providers for delivery or mailing. Applies labels to claim forms for providers for delivery or mailing. Applies name and address labels ... to claim forms for providers and prepares for mailing. As...Perform duties related to mail room workflow to include processing of incoming bill payments, sorting of MSA, manual… more
- Highmark Health (Albany, NY)
- …(ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements ... in projects and activities that impact the Sales and Operations and claims finance business unit functions. HNAS (Health Now Administrative Services) offers… more
- Independent Health (Buffalo, NY)
- …daily basis. Assist in interpreting database information as it relates to pharmacy claims processing . + Assist with PBM implementation by identifying potential ... department with various data entry projects/information as they relate to pharmacy claims processing . C. Administrative Duties + Provide accurate and up-to-date… more
- CVS Health (NY)
- …or Certificate of Coverage (COCs) + Experience in research and analysis of claim processing a plus. **Education** High School Diploma or Equivalent **Anticipated ... + 1 year experience that includes both HMO and Traditional claim platforms, products, and benefits, patient management, product, compliance and regulatory… more
- Customs and Border Protection (Queens, NY)
- …Coordinator with the workers' compensation program for the port and with the initial processing of the claims . Managing the in/out box for the manager, including ... hours. You are required to submit proof of your claim . GS-11: Successful completion of a Ph.D. or an...hours. You are required to submit proof of your claim . Combining Education and Experience: Combinations of successfully completed… more
- Baylor Scott & White Health (Albany, NY)
- …appropriate statistical trend analysis. + Performs root cause analysis of claims /encounters processing and submission issues; develops recommendations based on ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- City of New York (New York, NY)
- …Area Supervisor, who will: - Directly and indirectly supervise staff in Claims processing /establishment of claims /recovery of manual payments/Program ... support. Track and ensure productivity of processing case actions in claims , establishment and imaging or recovery units. - Develop, complete, review and… 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 claims ... secondary balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter Sent (CLS) and transfers balance… more
- Hannaford (Pine Bush, NY)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms if needed. * Maintain organized filing system for invoices, manual ... insurance claims , daily reports, etc.. in accordance with Standard Practice...Relay specific communications to customer from technician or pharmacist processing prescription. * Maintain solid communication within the department.… more
- Stony Brook University (St. James, NY)
- …systems expertise, patient registration and throughput, health information management, claims processing and reimbursement, payer contracts, and applicable ... knowledge of integrating third-party systems, including insurance eligibility verification, claim scrubbing, electronic claims submission and remittance, encoder… more
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