- City of New York (New York, NY)
- …Counsel and other City agencies to investigate and resolve claims pre-litigation. The Claim Specialist II - Personal Injury Liability Claims ... in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent...disallowed, or litigated; - When appropriate, negotiate and settle claims within delegated monetary authority level or… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …attendance is expected and required. + Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Prioritizes ... on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs...Services department Level III (in addition to Level II Accountabilities) + Assists supervisor with… more
- Ellis Medicine (Schenectady, NY)
- This position can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group ... lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the...providers to ensure documentation supports the diagnoses and E/M level in question; (7) Responsible for weekly chart audits… more
- Cardinal Health (Albany, NY)
- …AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist II contributes to Cardinal Health_** Account Receivable Specialist ... with strong internal controls. + Possesses understanding of service level goals and objectives when providing customer support. +...claims using billing software including electronic and paper claim processing + Following up on unpaid claims… more
- Guidehouse (New York, NY)
- …Initiatives (CCI) + Medically Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review clinical documentation and ... third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and...coding certification. + Experience in ICD-10, CPT and HCPCS Level II Coding. + Expertise in determining… more
- WSP USA (New York, NY)
- …highly visible construction and modernization projects under the guidance of a senior level SCA Project Officer. + Ensure the quality and high standards of ... procedures and policies. + Provide guidance and advice to lower- level Project Officers. + Resolve issues and problems raised...SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …Assistance Program (SNAP) for all applicable service recipients (those in congregate care level II facilities). + Monitor monthly EBT SNAP Redemption Schedule as ... Eligibility Specialist Type of Position Full time Search Location(s)...safety measure for all service recipients within congregate care level II facilities and maintain monthly worksheet… more
- WMCHealth (Poughkeepsie, NY)
- …additional 325,000 outpatient procedures each year. MidHudson Regional Hospital operates the area's only Level II trauma center, is home to the Redl Center for ... Quality Improvement Specialist - RN Company: MidHudson Regional Hospital City/State: Poughkeepsie,...and alerts the department director, medical staff leadership, and claims manager. + Conducts special studies in collaboration with… more
- City of New York (New York, NY)
- …Management and Development (ORMD) is recruiting one (1) Principal Administrative Associate II to function as an Eligibility Verification Specialist , who will: ... Safety Net cases with Single Issuance payments to determine eligibility for claim adjustments, and Housing Preservation and Development (HPD) cases, ensuring cases… more
- University of Rochester (Rochester, NY)
- …Nutrition Specialists and Clinical Dietitians. Mentors clinical nutrition specialists I, II and clinical dietitians. Serves as clinical preceptor to dietetic interns ... insurance coverage criteria for home EN and documentation required to support claims . Uploading documentation to pharmacy EMR as needed. Awareness of insurance and… more