- CDM Smith (Buffalo, 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
- Family and Children's Association (Mineola, NY)
- …is responsible for timely preparation, submission and payment reconciliation for claims submitted to various funding sources (local, state and federal government, ... Responsibilities + Prepare and document assigned monthly or quarterly reimbursement claims to funding sources. + Reconcile expenditures claimed to the General… more
- Crouse Hospital (Syracuse, NY)
- …Checking payer websites and/or making phone calls to payers for status on unpaid claims . + Reviewing and analyzing all payer 835 files and hard copy Remittance ... Advices. + Timely submission of appeals on denied claims , and works payers' correspondence in a timely manner....established time frame. + Professionally analyzes and works all claim denials and proactively notifies department leadership of trends… more
- Weill Cornell Medical College (New York, NY)
- …needed. Tracks and resolves issues on denied claims . Resubmits or appeals claims as required. Escalates more complex claim issues when necessary. + Obtains, ... management billing system as...demographic and insurance information within the practice management billing system . + Verifies patient insurance eligibility and obtains necessary… more
- EAC Network (Garden City, NY)
- …submission. Ensure that all finalized budgets are entered into internal and external funder systems and kept current for use in claims and projections. + Collect ... develop plans to address variances. + Process and submit claims requests within 10 business days of the end...flag issues for resolution. Track changes to ensure internal systems reflect current contract obligations. + Maintain a centralized… more
- Stony Brook University (East Setauket, NY)
- …following up on rejected, denied insurance claims and/or experience using claims scrubber systems . + Experience with Inpatient and Outpatient billing ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more
- Molina Healthcare (Buffalo, NY)
- …to ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors.… more
- Ellis Medicine (Schenectady, NY)
- …not limited to Microsoft Windows, Excel and Word. Experience with Soarian systems and/or Allscripts/Cerner electronic health record preferred + Minimum of five years ... planning, organization, and evaluation elements of the Patient Demographic capture and system set up + Designs quality management monitors and workload measurement … more
- Hannaford (Guilderland, 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
- City of New York (New York, NY)
- …Provide presentations/ demonstrations of the Automated Supplemental Nutritional Assistance Program Claims system (ASCS) and/or general program operations to both ... cases. It was enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims for the… more
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