- University of Rochester (Rochester, NY)
- …in visit notes. 30% Corrects claim errors returned post-submission. + Reviews claims requiring non-routine correction in payer system to determine method of ... Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer...of payer billing software makes corrections directly in payer system . + Identifies non-routine problems for claims … more
- University of Rochester (Rochester, NY)
- …information. + Follow up on unpaid accounts- - - For unpaid accounts, check claim status on appropriate payer systems or contact an insurance representative to ... for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a...phone conferences with third party insurance representatives due to claim and system issues requiring prompt attention… more
- University of Rochester (Rochester, NY)
- …software) fax/scanner, Microsoft Word, Excel, Access, Email, third party claims systems (ePaces, Connex), Epic Billing System , and various payer web sites. ... which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes… more
- Molina Healthcare (Syracuse, NY)
- …and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience ... Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination… more
- University of Rochester (Albany, NY)
- …denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- The Institute for Family Health (New Paltz, NY)
- …and facilitates resolution. + May be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be ... denials are at optimal levels + Ensure daily/weekly/monthly medical claim submission. Resolve claim and remittance file...existing product lines/plans and issues related to the EPIC system build. + Ensures Retro Adjudication Work Queues are… more
- Mount Sinai Health System (New York, NY)
- …credit balance report to ensure adherence to government regulations/guidelines. + Analyzes claims system reports to ensure underpayments are correctly identified ... + 5 years experience in medical billing or health claims , with experience in IDX billing systems ...System is one of the largest academic medical systems in the New York metro area, with more… 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 ... High School Graduate + 3 years experience with medical billing and claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing … more
- Mount Sinai Health System (New York, NY)
- …credit balance report to ensure adherence to government regulations/guidelines. + Analyzes claims system reports to ensure underpayments are correctly identified ... + 3 years experience in medical billing or health claims , with experience in IDX billing systems ...System is one of the largest academic medical systems in the New York metro area, with more… more
- Allied Universal (Buffalo, NY)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU… more
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