- WMCHealth (Valhalla, NY)
- …Summary: The Payment Resolution Analyst processes all out of network insurance claims to ensure appropriate payments are received, negotiates payments with payers, ... and follows up on independent dispute resolution appeals. Responsibilities: + Reconciles billing and payment data on an automated system to maintain and update… more
- Cardinal Health (Albany, NY)
- …attorney with expertise in healthcare regulatory compliance, including third party billing and reimbursement. The Assistant General Counsel - At-Home Solutions will ... but not limited to, laws and regulations relating to third party payor billing and reimbursement as well as other laws and regulations applicable to durable… more
- Independent Health (Buffalo, NY)
- …offices and facilities and aid with benefit and eligibility questions, billing and payment questions, and EOB explanations. The Provider Relations Representative ... to escalated and complex provider and member inquiries, including claim and billing research requests. + Provide written and verbal response to customer inquiries.… more
- City of New York (New York, NY)
- …and receiving and processing payments managed through QuickBooks and an online billing platform (CityPay). This position will ensure that best accounting practices ... financial management tasks require routine interfacing with the CityPay online billing platform and an internal database (Watershed Lands Information System, or… more
- Amalgamated Bank (New York, NY)
- …Support all department functions + Process/Review/Respond to Reg E claims , adjustments, reconcilements, settlements, inquiries and notifications with various ... review tracking and archive supporting documents + Process client billing reports, cycles, advice, and posting files prior to...the management of FRB funding accounts + Reconcile vendor billing reports and track billing offset entries… more
- Highmark Health (Albany, NY)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- University of Rochester (Albany, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... issues within team, revenue cycle or stakeholders handling charging and billing related issues. May perform other duties as assigned. **Background Expectations:**… more
- WMCHealth (Valhalla, NY)
- …systems. + Collaborate with Finance, IT, and other departments to ensure 340B billing requirements are properly set up and maintained. + Software & Data Management ... + Maintain, test, and audit split- billing software and associated data feeds, ensuring accuracy and...feeds, ensuring accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy… more
- Tarrytown Rehabilitation & Nursing Center (Tarrytown, NY)
- …at Personal Healthcare. The Accounts Receivable role will involve tasks such as: + Billing Medicare and Medicaid + Reviewing claims for accuracy + Appealing and ... experienced in the field, with strong Medicare and HMO billing knowledge. + Experience with at least 2 years...at least 2 years of PCC (Point Click Care) billing experience Qualifications + Effective communication abilities. + Quick… more
- Molina Healthcare (Syracuse, NY)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more