- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements:...relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the… more
- ConnextCare (Oswego, NY)
- …companies to follow up on delinquent claims + Follow up on denied claims by sending claim status requests to appropriate insurance companies + Process ... Other duties and responsibilities as may be requested by supervisor and/or management + Cross training for posting explanation...claims for service via websites of insurance companies. Requirements… more
- MTA (New York, NY)
- …Control SALARY RANGE: $128,255 - $148,850 HAY POINTS: 994 DEPT/DIV: Finance SUPERVISOR : Deputy Chief, Risk and Insurance Management LOCATION: 2 Broadway, New York, ... of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. +...cost, accuracy and best practices. + Monitors and manages claim reserves, working with TPAs and insurers to adjust… more
- New York State Civil Service (Albany, NY)
- …SAMS software program to perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use in aid calculations and ... implementation of guidelines and procedures, and risk-based analysis for post-edit claim verification projects;* Process revisions to school districts' prior year… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
- City of New York (New York, NY)
- …eligibility of Food Stamp benefits. - Verify the case folders for accurate claim establishment by accessing and checking the Welfare Management System (WMS), New ... other means for referral to the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP CR). - Review claims...referred data for submission to SNAP-CR. - Meet with Supervisor to discuss activities, concerns and findings. - Complete… more
- MDD Forensic Accountants (Melville, NY)
- …corporations, government entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Senior Accountant to serve ... skills, and can work independently. Key Responsibilities + Analyze and reconcile claim to final calculation + Participate in strategic planning sessions with… more
- Independent Health (Buffalo, NY)
- …Research and respond to escalated and complex provider and member inquiries, including claim and billing research requests. + Provide written and verbal response to ... to meet department of health standards. + Escalate issues as needed to supervisor . + Log all contacts into appropriate systems and maintain accurate documentation to… more
- Trinity Health (Albany, NY)
- …ethical coding. Recognizes and reports opportunities for documentation improvement to the Supervisor of Risk Adjustment Coding & Audit to develop and implement ... diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system...support addressing HCC codes for Risk Adjustment before a claim is submitted to payers. . Demonstrate a solid… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …and peer review. Participates in clinical review process such as tort claims , peer reviews, management reviews and administrative activities, as directed by the ... moonlighting Work Schedule: Full Time; tour to be discussed with supervisor . Mandatory shared call rotation, including nights, weekends, and holidays. Requirements… more