- PSEG Long Island (Bethpage, NY)
- …and approve contractor invoices. + Negotiate appropriate payments and settlements on claims related issues. + Identify and initiate corrective action to resolve ... issues with engineering/design, materials, procurement, construction, interdisciplinary/interdepartmental coordination, worker productivity, safety and quality items. + Provide input to the regional equipment and line clearance plans. + Support the… more
- City of New York (New York, NY)
- …Supervises liaisons to agency benefits offices, payrolls and carriers for eligibility, claims payments under the NYCE PPO. - Directs staff responsible for assisting ... employees navigating both ESS and application Forms. - Monitors Liaisons to Agency HR, Unions and active employees. - Conducts on-going training of personnel assigned to the liaison unit. - Handles all personnel matters including performance review and any… more
- University of Rochester (Rochester, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... productivity, and provider relationships across all departments. Additionally, the Assistant Coding Manager is responsible for ensuring proper training and supervision of assigned staff members, while implementing and upholding URMFG best practice standards.… more
- Allied Universal (Batavia, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Assesses staff and unit training needs and reports this information to the supervisor . + Collaborates with other key departments ( Claims , Customer Service, ... policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- New York State Civil Service (New Windsor, NY)
- …as set by the Verbatim Reporter Unit manager and the Verbatim Reporter Services Supervisor .* Access queue(s) in the Claim Information System as often as ... set by the Verbatim Reporter Unit manager and Verbatim Reporter Services Supervisor .* Maintain confidentiality of all information regarding claims .* Comply with… more
- University of Rochester (Brighton, NY)
- …May research information to assist legal counsel + Produces reports, audits claim , evaluates eligibility and entitlements and considers multiple leave options to ... payments. + Exercises discretion and independent judgement when identifying claim discrepancies and recommends resolution processes. Directs vendors related to… more
- Ellis Medicine (Schenectady, NY)
- …Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider ... and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to...for data entry errors and make corrections. Notify the supervisor when a system error occurs. Log and forward… more
- ConvaTec (Massapequa, NY)
- …requires some explanation or interpretation. **Key Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid, commercial and private ... prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance… more