- Northern Rivers Family Services (Albany, NY)
- …through electronic or paper claims . + Perform posting charges and completion of claims to payers. + Interpret claim denials and work denials and complete the ... appeal process. + Process insurance and Medicaid claims to ensure claims are paid promptly....Prepare analysis, reports, and other tasks assigned by the Supervisor , Director of Finance or CFO. + Work with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
- Ellis Medicine (Niskayuna, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , facilitating the accuracy and completeness of the practice's codes and charges ... 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
- 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
- MTA (New York, NY)
- …Control SALARY RANGE: $133,519 - $166,899 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
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …and consistent revenue flow for organization. + Checks clearinghouse, Availity, for any claims in error edits, corrects, and submits to payer timely. + Follow up ... is to be done bi-monthly on assigned controls to include corrected claims , appeals, phone calls, or provider rep assistance to assure any missing or incorrect… 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
- 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
- Cardinal Health (Albany, NY)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... relevant federal/state payor regulations. + Flag trends or recurring issues for team Supervisor or Manager. + Meet daily/weekly productivity goals (eg, number of … more