- NBC Universal (New York, NY)
- …laws (including employment policies, worker classification, discrimination and harassment claims , disability accommodations, and family and medical leave laws, ... investigations of employment-related and other types of complaints, ensuring that claims are addressed promptly, thoroughly and appropriately + Draft and negotiate… more
- City of New York (New York, NY)
- …personnel for all contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates. - Maximize agency ... ensuring all expenditures are captured and reported accurately in claims . - Reconcile DOHMH submitted claims after...accurately in claims . - Reconcile DOHMH submitted claims after state approval. - Handle the collection and… more
- Syracuse Community Health Center (Syracuse, NY)
- …management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health record system. This role requires ... Medical Terminology required. Demonstrated understanding of billing requirements for claims , demonstrated knowledge of healthcare insurer reimbursement systems, payer… more
- WMCHealth (Poughkeepsie, NY)
- …link Job Details: Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of medical services provided ... Responsibilities include initial billing, investigation and reconciliation of problem claims , insurance follow up, filing, and other clerical tasks.… more
- CVS Health (Albany, NY)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- The Institute for Family Health (New Paltz, NY)
- …+ Provides clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets as directed ... medical professionals and patients on daily basis. + Recognizes issues relating to claims denials and communicates such information in a timely manner to the manager… more
- Elderwood (Buffalo, NY)
- …+ Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system. + Skilled nursing facility, assisted ... facility and private pay pharmacy claim billing + Troubleshoot rejected insurance claims resulting in payments + Prior Authorizations required from Third Party… more
- Catholic Health (Williamsville, NY)
- …encounters are accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and contracted payer ... limited to, the following : (1) Review of all claims for accuracy of demographic and charge information (2)...knowledge of third party billing procedures + Knowledge of claims review and process + Strong computer skills (MS… more
- Mount Sinai Health System (New York, NY)
- …and accurate integration of data from various external sources, including wholesalers, claims systems, and financial platforms. + Develop complex SQL logic to join, ... transform, and reconcile data from Epic, QS1, Oracle Cloud, 340B claims data, and wholesaler purchase feeds. + Support 340B program reporting by building custom… more
- New York Racing Association (NY)
- …on a team that is responsible for additional functions, such as Placing, Claims , Paddock, assisting Stakes Coordination, or the Clerk of Scales. Essential Functions: ... with scheduling and preparation for following day's races. + Claims : Verify accuracy of information and communicate between all...office, and Clerk of Scales) during the processing of claims during a claiming race. + Stakes Coordinator: Assist… more