- MVP Health Care (Schenectady, NY)
- …Integrity & Cost Containment** to lead enterprise-wide initiatives that ensure claims are paid accurately, ethically, and efficiently. This high-impact role ... goals. + Oversee pre- and post-payment integrity programs including claims editing, audits, subrogation, readmission reviews, and coordination of benefits.… more
- Mount Sinai Health System (New York, NY)
- …High School Graduate + 3 years experience with medical billing and claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing ... claims , maintaining related files and logs, and checking patient...and other business office issues. 2. Monitors processing of claims for reimbursement and ensures all necessary documentation and… more
- MTA (New York, NY)
- …reduce the MTA's cost of risk through risk analysis and transfer, claims management practices, captive financial planning, insurance program placement, and other ... Responsible for handling All Agency Fiduciary, Fidelity, and agency property insurance claims ( Claims valued over $100 million are overseen by the Deputy Chief),… more
- Molina Healthcare (Albany, NY)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... Analysis** + Use a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Apply understanding of… more
- City of New York (New York, NY)
- …serve as a Claiming Associate who is critical to tracking and cataloging of all BCR claims , as well as the submission of all DSS The Office of Fiscal Operations is ... claiming data, which includes approximately 3,200 DSS/HRA/DHS and other agency claims submitted annually for Federal and State reimbursement on an accessible… more
- Allied Universal (Batavia, NY)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **ESSENTIAL...about prompt account resolution and revenue collection from complex claims , high dollar claims , and specialized services.… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the...+ 5 years experience in medical billing or health claims , with experience in IDX billing systems in a… more
- EAC Network (Garden City, NY)
- …with program directors, develop plans to address variances. + Process and submit claims requests within 10 business days of the end of each reporting period. ... external funder systems and kept current for use in claims and projections. + Collect and verify key cost...to develop accurate budgets and projections that support planning, claims , and internal decision-making. + Ensure that all budgets… more
- City of New York (New York, NY)
- …the Senior Executive Director will also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how to process VA claims ... DVS health screeners are connected to mental health resources. Process VA Claims , Provide Veteran Benefits Counseling: Possess high-level knowledge of processing … more