- Datavant (Albany, NY)
- …for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the entire revenue cycle to ensure optimal reimbursement ... revenue cycle processes, HIM coding practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between… more
- New York State Civil Service (Albany, NY)
- …from over 700 school districts and 37 BOCES via the State Aid Management System (SAMS), a custom web-based software system . Data from other State agencies ... 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
- City of New York (New York, NY)
- …eligibility of Food Stamp benefits. - Verify the case folders for accurate claim establishment by accessing and checking the Welfare Management System (WMS), ... HRA One Viewer, IPay, Automated Listing of Eligibility Requirement Tracking System (ALERTS), collateral mailed inquiries, telephone contacts and other means for… more
- City of New York (New York, NY)
- …personnel for all contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates. - Maximize agency ... reimbursement by ensuring all expenditures are captured and reported accurately in claims . - Reconcile DOHMH submitted claims after state approval. - Handle the… more
- Baylor Scott & White Health (Albany, NY)
- …and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission ... Performs analysis and reporting activities related to risk score calculation, claims /encounters data submission, chart review programs and audits, and related… more
- Sedgwick (Albany, NY)
- …worker's injury, medical treatment, psychosocial needs, cultural implications and support systems . + Effectively communicates and builds relationships with the ... claims ' examiner, client, injured worker, attorney and supervisor. +...+ Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's privacy and confidentiality, promotes… more
- Highmark Health (Albany, NY)
- …(ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements ... in projects and activities that impact the Sales and Operations and claims finance business unit functions. HNAS (Health Now Administrative Services) offers… more
- MetLife (Oriskany, NY)
- …of MetLife. The customers who call into our call center call to file their claims , or to service their active claims . Call types include callers with disability, ... needs. * Research requests regarding various product aspects, policy provisions, claim status, basic procedures, etc. * Efficiently process transactions and refer… more
- CDM Smith (Albany, NY)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Management: The candidate must understand and be knowledgeable in project delivery systems , contracting strategies, and typical contract forms and terms. The role… more
- Independent Health (Buffalo, NY)
- …inquiries (ie, phone, mail, fax, and email.) They Servicing Rep utilizes system tools and resources to address and resolve inquiries; provide benefit clarification ... and eligibility; communicate claim and reimbursement information, facilitate proper utilization of policies and procedures, coordinate resolution to streamline… more