- Cardinal Health (Albany, NY)
- … claims processing. + Manages billing queue as assigned in the appropriate system . + Manages and resolves complex insurance claims , including appeals and ... in accordance with company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with all information… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... Interaction with plan representatives regarding enrollment audits; problems and claims resolution; identify fee schedule issues; and addressing potential corrective… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... and procedures including institutional, as well as professional payment systems . This position is an internal subject matter expert...Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial… more
- New York State Civil Service (White Plains, NY)
- …within the Investigations Unit. Duties include, but are not limited to:* Triage claims of discrimination.* Ensure duplicate claims of discrimination are closed ... timely and that Claimants are notified that the duplicate claim has been closed. * Review complaints for issues...the Assistant Commissioner for Intake for proper follow-up.* Assign claims of discrimination to Office Assistants and Program Aides… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... item insurance payments and patient payments into the billing system , posting of declines, charge corrections, and preparation of...years of related experience. + 3 years of health claims billing experience; prefer experience working with CPT and… more
- Callen-Lorde Community Health Center (New York, NY)
- …confidentiality standards. + System Management:Utilizing EPIC practice management system and Trizetto clearinghouse systems effectively, ensuring maintenance ... patient service charges in EPIC, preparing and submitting electronic and paper claims , processing payments from third-party payers and patients, and managing monthly… more
- GE Vernova (Schenectady, NY)
- …project execution and ensures that commercial risks and opportunities (notably claims , change orders, vendor and insurance recoveries) are identified early, tracked, ... as negotiation. **Job Description** + Implement risk mitigation strategies + Develop claims settlement agreements + Manage and drive Contract Change Order execution… more
- GE Vernova (Schenectady, NY)
- …and other EPC claims + Research, pursue, negotiate and obtain insurance claim recoveries + Drive Supplier recovery working in conjunction with Sourcing + Ensure ... commercial expert in preventing and mitigating high dollar value claims and risks. In this role, you will: +...authorization to release new projects via Electronic Order Release system (eARS) in a timely manner + Maintain eARS… more
- City of New York (New York, NY)
- …account balance and identify payment accuracy according to fee schedule. Perform claim reviews prior to submitting claims to payers. Communicate updated ... patient information with clinic teams to ensure transparency. Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing financial systems , to ensure… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... insurance assessment forms and agreements and ensures they are accurate for claims processing. 8. Performs other related duties. **About Us** **Strength through… more