- Rochester Regional Health (Rochester, NY)
- …Responsibilities will include basic knowledge of medical billing, medical claims processing and accounts receivable collections. The Medical collection specialist ... must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within Meditech and Emdeon to identify denial trends as well as be responsible for locating and monitoring overdue third party accounts preventing write off.… more
- Uniland Development Company (Amherst, NY)
- …Primary responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and ... pertaining to Uniland's business activities. + Facilitates administration of insurance claims , including builder's risk, liability, and property insurance and other… more
- Highmark Health (Albany, NY)
- …solve complex problems representative of a broad range of service and claim scenarios. + Other duties as assigned. Including, but not limited to additional ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the … more
- Highmark Health (Albany, NY)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …+ Follow up is to be done bi-monthly on assigned controls to include corrected claims , appeals, phone calls, or provider rep assistance to assure any missing or ... flow for organization. + Checks clearinghouse, Availity, for any claims in error edits, corrects, and submits to payer...Skills: + Prior Medical Billing with electronic and paper claim filing experience including maintenance of data tables. +… more
- New York State Civil Service (Rochester, NY)
- …include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, Claims Service ... previous loss and premium data.* Experience rating data and claims material to price coverage.* Define, restrict, or qualify...Representative 1, Claims Services Representative 1 (Disability Benefits); OR* Six years of experience*… more
- CDM Smith (Buffalo, NY)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
- American Packaging (Churchville, NY)
- …needed or when the business warrants. + Serve as a backup ISO Management Rep and SQF Practitioner behind the quality systems engineer or manager. + Provide support ... + Assign tasks and manage the complaint system and assure that customer claims are processed effectively and timely. + Prepare capability analysis of physical… more
- ASM Global (New York, NY)
- …talent deals for appropriate indemnification, hold harmless, and insurance provisions. 4. Claims Oversight and Coordination + Lead the organization's claims ... process by establishing clear protocols for reporting, documenting, and tracking claims related to incidents, property damage, liability, and other risk exposures.… more
- RxBenefits (New York, NY)
- …team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will ... Deal Governance teams for At-Risk accounts + Manage and support the current account claim and data requests + Respond to competing PBM offers to show RxBenefits… more