- Brighton Health Plan Solutions, LLC (New York, NY)
- …revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals . The Customer Service ... + Handle inbound calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address customer needs and concerns… more
- Rochester Regional Health (Rochester, NY)
- …the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed ... Job Title: Business Office Representative Department: Billing Location: Riedman Campus SUMMARY: Ensure...managing a receivable . Resolve edits to ensure accurate claims are sent to primary and secondary insurances .… more
- Rochester Regional Health (Rochester, NY)
- …the payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals . + Process account adjustments and refunds as needed ... effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials… more
- University of Rochester (Rochester, NY)
- …edits, and obtains signatures for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and ... drafts for provider signature. + Manages provider(s) documentation and information. + Composes and types of non-routine correspondence providing factual information. + Arranges travel, conference registration, and hotel accommodations. + Interfaces with… more
- University of Rochester (Rochester, NY)
- …protocols in selecting for routine and non-routine letters of correspondence related to appeals on denied claims , billing and patient communications. + This ... includes compiling all necessary information and drafts for provider signature and ensuring best practices and following University polices and guidelines. + Obtains hospital medical records for information requested by physicians, insurance companies, and… more
- University of Rochester (Albany, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working ... process taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ...with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies. + 10%… more
- MTA (Brooklyn, NY)
- …Operating Authority, which includes the New York State Department of Labor claims processing, hearings, appeals , adjournments, remands and quarterly audits. ... tasks are performed correctly and efficiently in compliance with mandated deadlines. Review UI claims before submission to the DOL and also review NF claims … 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 ... and policies of the Department and the Organization. The representative shall have a basic understanding of medical billing...patients on daily basis. + Recognizes issues relating to claims denials and communicates such information in a timely… more
- City of New York (New York, NY)
- …- Investigates and advises the agency concerning contract disputes, and appeals on the rejection of equipment, materials, or workmanship; compiles contract ... and project documentation bearing on these dispute claims . - Acts as liaison with the community and...activity on the construction site, acts as the City's representative in the filing of complaints with the Police… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Financial Services department. What You'll Do + Handle and resolve assigned denied claims in multiple work queues including, but not limited to, eligibility and ... and documents, entering data into the EMR system, assisting in compiling appeals and reconsiderations. + Collaborate and communicate effectively with employees and… more