- 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
- 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: $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
- 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
- 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 ... Work Schedule: Full Time; tour to be discussed with supervisor . Mandatory shared call rotation, including nights, weekends, and...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
- SUNY Upstate Medical University (Syracuse, NY)
- …inquires related to prior authorizations and assists billing group on insurance claims . Completes outbound calls to payors and clinics to assist with prior ... Job Summary: Reviews, verifies, and processes prior authorizations in the department's work queue. Serves...mail or fax bulletins and reviews major changes with supervisor . + Quickly identifies need for authorization initiation or… more
- OLV Human Services (Lackawanna, NY)
- …the needs of the dental center - Any other duty as assigned by your Supervisor . - Employee is expected to perform specific roles and duties as outlined below: ... and evaluates balances owed; negotiates payment terms collecting outstanding balances prior to next scheduled visit/treatment * Requests, verifies, and scans … more
- OLV Human Services (Lackawanna, NY)
- …A critical part of the role involves evaluating insurance coverage, managing claims processing, and ensuring all aspects of patient care are accurately documented ... process, ensuring all patients' insurance coverage is accurately verified and documented prior to appointments. + Ensure prior authorizations are completed in… more
- Staffing Solutions Organization (Albany, NY)
- …of Operational Excellence. The Bureau of Medical Review is responsible for prior approval and pre-payment review of medical equipment and services, policy ... savings and staff efficiencies. **Duties include:** + Review medical claims according to written procedures + Answer routine phone...am to 4:30 pm unless otherwise specified by the supervisor , this includes a half hour unpaid lunch break.… more
- CVS Health (New York, NY)
- …labeling all prescriptions + Resolve third party rejections and complete any manual claim forms + Perform all prescription pick-up procedures, in adherence of CVS ... where district is located_ Preferred + Other Certification(s): Eligibility to immunize ** Prior Relevant Work Experience** **:** Indicate the amount of prior … more