- Molina Healthcare (Buffalo, NY)
- …agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and ... response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments...relating to claims payment and requests for claim adjustments or to requests from outside agencies **JOB… more
- Cognizant (Albany, NY)
- …with stakeholders and teams. **In this role, you will:** + **Resolution of Claim Denials** : Perform advanced work related to resolving physician claim ... : Suggest additions, revisions, or deletions to work queues and claim edits to improve efficiency. + **Pattern Identification** : Identify patterns… more
- Stony Brook University (East Setauket, NY)
- …of SQL or Database Queries. + Experience reporting from healthcare decision support , patient accounting, contract management and/or claims scrubber systems. + ... but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental and… more
- City of New York (New York, NY)
- …funding, providing technical support , financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible for the ... and risk avoidance projects, provides financial analysis and technical support and conducts data research. Most of its projects...SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service ... + Handle inbound calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address customer needs and concerns… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …empowers individuals and families. With respect. Without judgment.No matter what. In support of PPCWNY's mission and the collaboration with Shared Services, the ... Leadership Team to ensure established workflows and procedures are implemented, to support Billing and Collections integrity and ensure revenue cycle goals are… more
- Callen-Lorde Community Health Center (New York, NY)
- …patient service charges in EPIC, preparing and submitting electronic and paper claims , processing payments from third-party payers and patients, and managing monthly ... codes with proper sequencing and modifiers, reviewing and validating coding for denied claims , and serving as a coding resource for the billing department to ensure… more
- WMCHealth (Kingston, NY)
- …Company: HealthAlliance Hospital City/State: Kingston, NY Category: Clerical/Administrative Support Department: Patient Accounting Union: No Position: Full Time ... Internal Applicant link Job Details: Responsible for filing insurance claims to third party payers in a timely manner. Also… more
- Catholic Health (Buffalo, NY)
- …Schedule: Days Hours: Flexible between 7am - 5pm Summary: The position will support the clients and Medical Practices of HCSWNY, and responsibilities will include, ... denials on a timely basis + Review of all claims for accuracy + Review and identify errors or...timely filing guidelines to ensure proper receipt of the claim by the insurance company or State/Federal agency, including:… more
- M&T Bank (Getzville, NY)
- **Overview:** Provide operations support to various areas of Business Banking and Consumer Collections. Perform data-entry, and system maintenance, so that the ... documents and mail to attorneys. + Prepare Proof of Claims (POC's) for submission, including supporting documentation. + Assist...provide information on accounts. + Prepare, send and track claim forms. + Perform skip tracing. + Prepare ticket… more