- University of Rochester (Albany, NY)
- …pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates with ... of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for working across the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Assesses staff and unit training needs and reports this information to the supervisor . + Collaborates with other key departments ( Claims , Customer Service, ... specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization Management, Behavioral… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Robert Half Accountemps (Rochester, NY)
- …by effectively and accurately managing receivables. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve ... to improve a complex business process. Key Responsibilities: Review and accurately process claim edits in a system work queue. Accurately handle claim … more
- University of Rochester (Brighton, NY)
- …May research information to assist legal counsel + Produces reports, audits claim , evaluates eligibility and entitlements and considers multiple leave options to ... payments. + Exercises discretion and independent judgement when identifying claim discrepancies and recommends resolution processes. Directs vendors related to… 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. +...safety incentive awards, and any other services needed to support the OCIPs. + Interacts with high level Agency… more
- Sedgwick (Albany, NY)
- …medical recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies… more
- Ellis Medicine (Niskayuna, NY)
- …and Vision insurance that starts DAY ONE! + Generous paid time off to support a work-life balance, including 6 paid holidays + Tuition Reimbursement and professional ... lists to ensure complete, timely and accurate submission of claims , facilitating the accuracy and completeness of the practice's...relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the… more
- New York State Civil Service (Albany, NY)
- …$31 billion in State Aid distributed annually to school districts and BOCES in support of public elementary and secondary education in New York State. Data that ... perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use...projects;* Process revisions to school districts' prior year aid claims to ensure correct aid is paid and overpayments… more
- Stony Brook University (East Setauket, NY)
- …Summary** At Stony Brook Medicine, a **Revenue Specialist** will provide operational support within the hospital's Patient Accounting Department. The position will ... support day-to-day business functions including but not limited to:...day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service.… more