- Weill Cornell Medical College (New York, NY)
- …the practice management billing system as needed. Tracks and resolves issues on denied claims . Resubmits or appeals claims as required. Escalates more ... Title: Account Representative Location: Upper East Side Org Unit: Billing...Under direct supervision, processes payments, researches accounts and performs data entry and other related billing activities **Job Responsibilities**… 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 ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… 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 ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
- Intermountain Health (Albany, NY)
- …service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + ... such as debits/credits, required + Experience with insurance claim appeals , required + Excellent computer skills (including Microsoft Office applications),… 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
- Highmark Health (Albany, NY)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... priority Congressional / Department of Defense), and appeals . Ensures that all processes are compliant with requirements and performance standards are consistently… 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)
- …to senior representatives such as mailing paper claims , preparing spreadsheets for appeals , or maintaining data spreadsheets as directed by the manager (s). ... standards, objectives and policies of the Department and the Organization. The representative shall have a basic understanding of medical billing and collections and… more
- CVS Health (Albany, NY)
- …team, and measuring success through improved member health as evidenced through Data Analytics. + Assists the customer's Wellness Representative (s) in managing ... navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two...the employees and the customer Total Rewards team on appeals . + Assist the Total Rewards team with the… more
- Saratoga Hospital (Saratoga Springs, NY)
- …entering data into the EMR system, assisting in compiling appeals and reconsiderations. + Collaborate and communicate effectively with employees and PFS ... What You'll Do + Handle and resolve assigned denied claims in multiple work queues including, but not limited...and staff satisfaction. + Serve as a positive, professional representative of our hospital and community. What You Bring… more