- 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
- Customs and Border Protection (Queens, NY)
- …homeland security by performing paralegal activities such as reviewing and finalizing claims , preparing cases, and coordinating the work of a paralegal team. In ... via the following link. DHS uses E-Verify, an internet-based system , to confirm the eligibility of all newly hired...hours. You are required to submit proof of your claim . OR A bachelor's degree with Superior Academic Achievement… more
- Highmark Health (Albany, NY)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure… more
- Trinity Health (Syracuse, NY)
- …and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. ... coding functions, including CPT, ICD-10 assignment, documentation review and claim denial reviewResponsible for proofing daily charges for accuracy and… more
- Trinity Health (Syracuse, NY)
- …and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. ... Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review Responsible for proofing daily charges for accuracy and… more
- Independent Health (Buffalo, NY)
- …Relations Representative will focus on first call resolution and navigate various systems and programs efficiently to provide the caller with the appropriate ... Research and respond to escalated and complex provider and member inquiries, including claim and billing research requests. + Provide written and verbal response to… more
- Independent Health (Buffalo, NY)
- …years of experience working in a clinical setting or utilizing a coding system (ICD-10 or PCS) required. Coding audit experience in an inpatient setting preferred. ... + Knowledge of ICD-10-CM and ICD-10-PCS coding systems , as well as respective reimbursement methodologies associated with each coding system preferred. +… more
- Hannaford (Highland, NY)
- …and complete manual insurance claim forms. * Maintain organized filing system for invoices, manual insurance claims , daily reports, etc. in accordance ... over the counter items. * Maintain a broad understanding of HBC MPP scheduling system . * Assist in data entry of MPP information. * Maintain attendance and vacation… more
- Arnot Health (Elmira, NY)
- …coding/billing regulations (LCDs, NCDs, NYS insurance laws, payer policies) + Assist in claim edit resolution to ensure compliant, clean claims are submitted + ... Cycle team and support coding integrity and charge optimization across our health system . The Revenue Coding Specialist plays a vital role in ensuring compliant and… more