- 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 ... 9. Interfaces with the HRA/TDC on-site Professional Liability Investigators: reporting potential claims as well as cases of concern by preparation of preliminary… 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 ... insurance assessment forms and agreements and ensures they are accurate for claims processing. 8. Performs other related duties. **About Us** **Strength through… more
- New York State Civil Service (Albany, NY)
- …for several major systems , including the Statewide Planning and Research Cooperative System (SPARCS) and the All-Payer Database (APD). The SPARCS system has ... 40+ calendar years of data. The All-Payer Database (APD) system has been in operations since 2018, collecting data...collecting data from 80+ insurers, bringing in 800+ million claim -level transactions a year and warehouses at present 7… more
- MetaOption, LLC (Hicksville, NY)
- …EMR system , including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors. + Troubleshoot system errors and ... + This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers,… more
- Stony Brook University (St. James, NY)
- …of integrating third-party systems , including insurance eligibility verification, claim scrubbing, electronic claims submission and remittance, encoder ... Televox, Teladoc, Experian, Phreesia, Instamed, FinThrive, Craneware, 3M Encoder, SMART Systems , UDS (SPARCS Submissions), UPHNLite, Report Automation System ,… more
- University of Rochester (Brighton, NY)
- …). Monitors, tracks, and maintains data for reporting requirements. Utilizes multiple systems to analyze claims , trends and desired outcomes including HRMS, ... May research information to assist legal counsel + Produces reports, audits claim , evaluates eligibility and entitlements and considers multiple leave options to… more
- Molina Healthcare (Buffalo, NY)
- …agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and ... + Research claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error. + Resolves and… more
- Molina Healthcare (Albany, NY)
- …experience and knowledge to research and resolve claim /encounter issues, pended claims and update system (s) as necessary. + Works with fluctuating volumes ... claims databases. Synchronizes data among operational and claims systems and application of business rules...housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Tutor Perini (New Rochelle, NY)
- …operational resiliency and redundancy for New York City's water supply system . **_Extraordinary Projects need Exceptional Talent_** **DESCRIPTION:** As a **Change ... all changes from initiation through negotiation and final approval. + Investigate potential claims , such as delays, unforeseen conditions, or extra work. + Prepare … more
- BronxCare Health System (Bronx, NY)
- …consistent with maintaining and furthering a positive public perception of BronxCare Health System . This includes introducing self by name and title to all patients. ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
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