- TEKsystems (Rochester, NY)
- …to the vendor and with other RRH stakeholders. - Participates in cross coverage support of other function-based areas as needed and at the discretion of the manager. ... and utilize Microsoft Office productivity suite (outlook, O365, word, excel etc.) - Customer Support -- will be interacting with customers on a day-day and need to… more
- University of Rochester (Rochester, NY)
- …to insurance companies to determine reason for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. - - ... - Research and calculate underpaid or overpaid claims ; determine final resolution.- - - Re-calculate claim based on fee schedule, APC or APG grouper, appropriate… more
- Northwell Health (Westchester, NY)
- …physicians, third-party insurance administrators, and departmental staff providing operational support . Works to ensure high-level customer service and physician ... companies. + Resolves issues related to credentialing, managed care participation, claims payment, demographic changes, referrals, and accessibility. + Responds to… more
- City of New York (New York, NY)
- …provide homicide survivors with initial and ongoing crisis intervention, emotional support , and advocacy through interactions with law enforcement, the criminal ... Justice system. Assist clients with the completion of and filing of victim compensation claims with the State Office of Victim Services. Prepare letters and forms to… more
- Intermountain Health (Albany, NY)
- …Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate ... capture of appropriate codes in support of the provision of value-based care by Intermountain Healthcare to appropriate populations. It ensures compliance and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …inbound inquires related to prior authorizations and assists billing group on insurance claims . Completes outbound calls to payors and clinics to assist with prior ... Minimum Qualifications: High School degree or equivalent and two years clerical support in a medical billing setting. Will consider equivalent combination of… more
- University of Rochester (Rochester, NY)
- …which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes ... necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and… more
- MTA (New York, NY)
- …$5 billion. The Manager for Construction Contracts title is a bove the Senior Contracts Specialist title. They support manag e ment - level titles with in the ... Contracts division and may supervise Contracts Specialists . Responsibilities Support senior staff with the award and documentation of construction-related… more
- CDM Smith (Albany, NY)
- …and Evidence Gathering: Collect and organize all necessary documentation to support claim amounts. This includes gathering invoices, receipts, contracts, ... **Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical… more
- City of New York (New York, NY)
- …Client Services Unit is responsible for the agency's benefits and support services, this includes ongoing resource development, policy and programmatic improvements ... the Senior Executive Director will also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how to process VA claims… more