- Centers Plan for Healthy Living (Staten Island, NY)
- …offices, clinics, social day cares, home care agencies, DME suppliers) regarding claim decision and payments across all Centers Plan for Healthy Living (CPHL) ... product offerings. + Thoroughly and efficiently gather claim information, assess and fulfill the caller's needs and...on the first call; navigate through the appropriate computer system (s) to identify the current status of the issue.… more
- CRC Insurance Services, Inc. (NY)
- …and makes recommendation for additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim documentation. 5. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with...all customer needs (both internal and external). 9. Maintain claims and suspense system ensuring follow-up for… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …including basic analysis of identified trends. + Analyzes audit results to recommend system or procedural changes to increase claim accuracy and/or identify ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Rochester Regional Health (Rochester, NY)
- …for ways to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately handle claim ... Job Title: Business Office Representative Department: Location: Hours Per Week: Schedule: Sign-On...payer policy changes. + Acquire and maintain knowledge of system terminology, claim /denial/coverage concepts and terms, and… more
- University of Rochester (Rochester, NY)
- …in-person meetings and phone conferences with third party insurance representatives due to claim and system issues requiring prompt attention for complex high ... + Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person meetings and phone… more
- Ellis Medicine (Schenectady, NY)
- …reconcile deposit slips. + Review Billing Exception Report for Revenue Management, the Medicare system (FISS), and the claims scrubber (SSI) daily for data entry ... The Accounts Receivable Representative will be responsible for achieving accurate and...posting charges, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data… more
- Independent Health (Buffalo, NY)
- …culture that fosters growth, innovation and collaboration. **Overview** The Servicing Representative is a customer service professional who displays confidence, a ... listening towards all Pharmacy Benefit Dimensions (PBD) customers. The Servicing Representative functions as an advocate for all customers and resolves all… more
- Cardinal Health (Albany, NY)
- … claims processing. + Manages billing queue as assigned in the appropriate system . + Manages and resolves complex insurance claims , including appeals and ... in accordance with company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with all information… more
- Independent Health (Buffalo, NY)
- …PC and Windows experience required, including typing skills. + Familiarity with on-line claim systems preferred. + Demonstration of math aptitude for purposes of ... fosters growth, innovation and collaboration. **Overview** The Pharmacy Help Desk Representative will be responsible for providing assistance to our pharmacies as… more
- Momentive Performance Materials Inc. (Niskayuna, NY)
- Job Title: Senior Customer Service Representative Summary:In this role, you will be the primary contact for customer support-related activities. You will provide ... focus on execution. + Receive, enter, and manage customer non-conformance claims , ensuring accurate complaint entry, coding, coordinator assignment, and clear… more