- The Institute for Family Health (New Paltz, NY)
- …companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider credentialing and ... responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be responsible for the submission of electronic… more
- Sedgwick (Albany, NY)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...to be accredited or qualified by experience + **Insurance claims experience:** it is imperative that you have experience… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...coding issue. Audits. + Follow-up on rejected or denied claims , improper payments and coding issues. + Process appeals.… more
- Tutor Perini (White Plains, NY)
- …changes from initiation through negotiation and final approval. + Investigate potential claims , such as delays, unforeseen conditions, or extra work. + Prepare claim ... + Collaborate with legal and contract teams to ensure claims are submitted in accordance with contract terms and...P6. + Develop and maintain a Change Log and Claims Register. + Participate in negotiation of change orders… more
- Access: Supports For Living (Middletown, NY)
- …management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, submission, and ... uploading of claims with providers and insurance companies, including but not...billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing + Analyze, billing and processing program … more
- City of New York (New York, NY)
- …5141. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer...records. Contacts City agency staff to make inquiries regarding claims ; returns incomplete claims to appropriate party… more
- Molina Healthcare (Buffalo, NY)
- …narratives, graphs, flowcharts, etc. for use in presentations and audits. Researches claims appeals and grievances using support systems to determine appeal and ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Molina Healthcare (Syracuse, NY)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- City of New York (New York, NY)
- …health and wellness, and culture. DVS' Veterans Support Services Attorney will assist the Claims Team and the Legal Unit. Legal Assistance with Claims Team The ... Veterans Support Services Attorney will support the Claims team comprised of Veterans Support Specialists who are primarily responsible for determining the… more
- Cardinal Health (Albany, NY)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more