- Sedgwick (New York, NY)
- …asbestos) by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate ... + Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life....coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Albany, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (New York, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned.… more
- Sedgwick (Albany, NY)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. + High School Diploma or GED required. ... claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure… more
- Utilities Service, LLC (Queens County, NY)
- …Background checks, etc. + Safety Management Process _(SMP)_ . Monitor and review current claims . + Work with the Home Office Claim Examiners and regional ... **Description** Gas Regional Safety Supervisor Job Details (https://asplundh.secure.birddoghr.com/secure/job\_profile.aspx?id=191833#collapseFour) Description We are seeking… more
- University of Rochester (Rochester, NY)
- …and state regulations bringing concerns to the attention of billing Manager and Supervisor . The Claim Resolution Rep III will represent the department and ... not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as...supervisor or manager of trends on incorrectly paid claims from specific payers. + Work with supervisor… more
- Catholic Health Services (Smithtown, NY)
- …accurate coding and billing of resident care services to maximize reimbursement. + Claim Review: Review and analyze submitted claims for accuracy and identify ... of care Qualifications: + + Education: Bachelor of Science in Nursing (BSN). Certification as a PRI Assessor preferred. Successful completion of a MDS training… more
- Highmark Health (Albany, NY)
- …technical expertise for coding content and functions within the department. The supervisor is responsible for the analysis and assessment of data relating to ... coding. Acting as an internal consultant, the supervisor provides essential quality reports, advice and improvement recommendations to management along all service… 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, ... HCPCS required + Working knowledge of medical terminology and anatomy required + Certification in one of the following: + RHIA - Registered Health Information… more
- Ellis Medicine (Schenectady, NY)
- …and phone), interpersonal and positive customer relations skills required. + Certification : n/a RESPONSIBILITIES OF THE POSITION: + Responsible for achieving ... outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to...for data entry errors and make corrections. Notify the supervisor when a system error occurs. Log and forward… more