- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff ... with maintaining and furthering a positive public perception of Bronxcare Health System and its employees. - Contributes to and participates in the… more
- Molina Healthcare (Albany, NY)
- **Job Summary** The Program Director, TechOps Core Systems provides department-level oversight for TechOps Core Systems performance and initiatives with emphasis ... on QNXT platform evolution, AI adoption, claims adjudication, provider/benefit configuration, and payments modernization. The role orchestrates cross‑functional… more
- Robert Half Accountemps (Rochester, NY)
- …and proficiency in industry-standard software. Responsibilities: * Manage and process medical claims efficiently using a variety of billing systems and software. ... accounts receivable processes and collection strategies. * Expertise in appeals and claim administration to address denied claims effectively. * Advanced skills… more
- Mount Sinai Health System (New York, NY)
- …+ Working knowledge of a health care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system ... :** 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… more
- Mount Sinai Health System (New York, NY)
- …+ Working knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system ... :** 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… 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 ... for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality… more
- Highmark Health (Albany, NY)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... information system . + Enter all authorizations into the Argus IPNS information system to allow claim adjudication. + Complete other assigned duties as… more
- City of New York (New York, NY)
- …to the Bureau's Claim Prepares used to track and identify all claims submitted for reimbursement. - Assist with the management of the distribution of scanned ... is critical to tracking and cataloging of all BCR claims , as well as the submission of all DSS...reimbursement once Final-Accepted in the NYS OTDA Automated Claiming System (ACS). - Assist with the maintenance of the… more
- Leviton (Melville, NY)
- …recording and application of all customer cash receipts and the posting of claims and chargebacks. This role will evaluate, process, and resolve customer deductions ... both manually and via Web ADI upload. Match and code system -generated deductions to customer backup documentation, investigating discrepancies as needed. Maintain… more
- Access: Supports For Living (Middletown, NY)
- …revenue management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, ... billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing + Analyze, billing and processing program ...identify when changes must be made to the EHR system , incudes communicating to systems support when… more