- University of Rochester (Rochester, NY)
- …in-person meetings and phone conferences with third party insurance representatives due to claim and system issues requiring prompt attention for complex high ... + Prepares information for and attends meeting with third-party insurance representatives on claims and systems issues for scheduled in-person meetings and phone… more
- BronxCare Health System (Bronx, NY)
- Overview The Community Health Worker (CHW) will be responsible for helping patients and their families to navigate and access community series, other resources, and ... with maintaining and furthering a positive public perception of BronxCare Health System and its employee. - Contributes to and participates in the… more
- BronxCare Health System (Bronx, NY)
- …with maintaining and furthering a positive public perception of BronxCare Health System and its employees. - Contributes to and participates in the ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of the Bronx-Lebanon Hospital Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient… more
- City of New York (New York, NY)
- …act on behalf of the Bureau of Fraud Investigation, Liens and Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their staff review cases, ... information for cash assistance cases by cross referencing the Welfare Management System (WMS), New York City Work Accountability and You (NYCWAY), and other… 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. ... Elmgrove Rd, Rochester, New York, United States of America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department:… 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. + ... - New York, Albany, New York, United States of America, 12224 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910402… more
- Sedgwick (Albany, NY)
- …: To identify and address psychosocial, medical, and employment issues within a claim and be actively engaged in resolution; to work in conjunction with and ... provide recommendations and education to the claims examiner, claimant, and clinical team; to work with...claimant's situation for psychosocial needs, cultural implications, and support systems in place. + Develops a plan to improve… more
- University of Rochester (Rochester, NY)
- …Elmgrove Rd, Rochester, New York, United States of America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the… more
- Ellis Medicine (Schenectady, NY)
- …reconcile deposit slips. + Review Billing Exception Report for Revenue Management, the Medicare system (FISS), and the claims scrubber (SSI) daily for data entry ... posting charges, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data...Worker 's Compensation C-4 or No Fault forms), then claims will be submitted daily to the appropriate payer… more