- Highmark Health (Albany, NY)
- …medical economics, profitability analysis, wellness studies, predictive modeling, benefit benchmarking, claim reserving and strategic client support that is both ... medical economics, profitability analysis, wellness studies, predictive modeling, benefit benchmarking, claim reserving and strategic client support . + Provide… 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
- Robert Half Accountemps (Port Washington, NY)
- …requires strong communication skills and the ability to handle complex insurance claims , appeals, and patient inquiries. Responsibilities: * Review denied medical ... claims and file appeals as needed. * Address patient inquiries regarding claim issues and insurance coverage with professionalism and clarity. * Billing and… more
- Hannaford (Highland, NY)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms if needed. * Maintain organized filing system for invoices, manual ... insurance claims , daily reports, etc.. in accordance with Standard Practice...to process prescriptions and service customers. PREFERRED REQUIREMENTS * Support and work with all pharmacy staff to achieve… more
- Cardinal Health (Albany, NY)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Supervisor or Manager. + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects, audits, or other… more
- New York State Civil Service (Albany, NY)
- …of health care complaints, including, but not limited to billing and claims reimbursement disputes; denials of coverage for medical treatment, prescriptions, and ... medical devices; incorrect processing of medical, mental health and substance abuse claims ; access to specialty and transitional care; termination of health plan… more
- City of New York (New York, NY)
- …The team will be responsible for preparing annual financial documentation to support revenue plans; preparing and submitting revenue claims ; preparing financial ... requirements. - Oversee Revenue Analysts to ensure accurate analysis of claims data, claim submissions and reports are processed timely based on established… more
- KPH Healthcare Services, Inc. (Rochester, NY)
- …bad debt processing + Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up + Track and re-bill pending Medicaid accounts + ... Re-bill claims as needed + Identify pattern problems (improper patient...to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations,… 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
- CDM Smith (Buffalo, NY)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more