- 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
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits) + Electronic claims processing preferred . **Responsibilities** 1. Follows up on submitted claims ... **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… 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 ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… 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
- 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
- Cardinal Health (Albany, NY)
- …**_Qualifications_** + 2-3 years' experience working in health insurance accounts receivable preferred . + Strong knowledge of insurance claim processing and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- New York State Civil Service (Albany, NY)
- …York State. The incumbent of this position will review and process state aid claims for Building aid (over $3 billion annually). Duties of this position include, but ... perform the annual review of school district State Aid claim submissions;* Identify and resolve inaccuracies and omissions in...period and is granted at the discretion of the supervisor and the appointing office. This position leads to… more
- MTA (New York, NY)
- …HAY POINTS: 1312 DEPT/DIV: MTA HQ/ Safety , Health, and Environment SUPERVISOR : Deputy Chief, Safety Officer FULL/PART-TIME : Full-Time LOCATION: 2 Broadway, New ... injury is recorded, the condition is corrected, and the claim is properly processed for continuance of care and...injured employee's liaison to the General Counsel's Workers' Compensation claims department to assist if there are any related… more