- BronxCare Health System (Bronx, NY)
- …maintaining and furthering a positive public perception of BronxCare Health System and its employee. 2. Describe responsibility:Contributes to and participates in ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- BronxCare Health System (Bronx, NY)
- …with maintaining and furthering a positive public perception of BronxCare Health System and its employees. - Contributes to and participates in the ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- BronxCare Health System (Bronx, NY)
- …with maintaining and furthering a positive public perception of BronxCare Health System and its employees. - Contributes to and participates in the ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Elderwood (Buffalo, NY)
- …+ Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system . + Skilled nursing facility, ... assisted living facility and private pay pharmacy claim billing + Troubleshoot rejected insurance claims ...pharmacy claim billing + Troubleshoot rejected insurance claims resulting in payments + Prior Authorizations required from… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial ... team focused, service driven, accountable, and innovative every day. + Track claim status using payer portals and billing software; investigate and resolve… more
- Elevance Health (Latham, NY)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
- Catholic Health (Williamsville, NY)
- …encounters are accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and contracted payer ... limited to, the following : (1) Review of all claims for accuracy of demographic and charge information (2)...all response files from electronic submissions and other relevant systems to perform accurate billing (4) Provide review of… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... vegetables, fish, meat, casseroles, soups and stews using established food preparation systems and utilizing equipment such as kettles, ovens, deep fryers, 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
- City of New York (New York, NY)
- …data warehousing services to constituent divisions of the Finance Office. The Senior Systems Analyst will perform technical and analytical work that will assist the ... Office is seeking an Associate Staff Analyst to function as the Senior Systems Analyst within Management & Policy Research/Single Issue Review unit, who will be… more