- Adecco US, Inc. (New York, NY)
- …required by the client. + **Reimbursement Support (20%)** - Assist offices with claims , billing and coding, appeals, medical benefit interpretation, and co-pay ... or patient assistance programs. Coordinate closely with case managers for resolution. + **Territory Management (10%)** - Manage a schedule of outbound calls, appointment setting, and in-office follow-ups. Collaborate with manufacturer field teams to ensure… more
- World Insurance Associates, LLC. (Slingerlands, NY)
- …advocacy, excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough ... understanding of the markets and their appetites, underwriting guidelines, submitting and procedures + Review all applications, policies, endorsements and audits for accuracy + Complete loss/claim analysis and summaries + Coordinate expiration list with… more
- University of Rochester (Rochester, NY)
- …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 attorneys. + Master… more
- World Insurance Associates, LLC. (Webster, NY)
- …advocacy, excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies. This includes marketing of ... renewal business + Maintain a thorough understanding of the markets and their appetites, underwriting guidelines, submitting and procedures + Review all applications, policies, endorsements and audits for accuracy + Complete loss/claim analysis and summaries… more
- Highmark Health (Albany, NY)
- …Analyst or Business Process Analyst role or experience in a related operational area (eg claims , billing , customer service, etc.) **Preferred** + 1 - 3 years in ... the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills + Business Analysis + Business Process Design + Business Process… more
- Healthfirst (NY)
- …or deep understanding of healthcare Operations processes and supporting systems such as Claims Processing, Enrollment & Billing , and Member Services. + Knowledge ... of healthcare Operations processes and supporting systems such as Claims Processing, Enrollment & Billing , and Member...systems such as Claims Processing, Enrollment & Billing , and Member Services. WE ARE AN EQUAL OPPORTUNITY… more
- CVS Health (Amherst, NY)
- …systematic setup essential for online viewing and processing related to Customer Service, Claims , Enrollment, Billing and Reporting in support of internal and ... experience with benefits interpretation **Preferred Qualifications** + Customer Service, Claims , and or Plan Build preferred + Salesforce experience preferred… more
- Mount Sinai Health System (New York, NY)
- …preferred). + EPIC certification(s) in relevant RCM modules (eg, Resolute Professional Billing , Hospital Billing , Claims , Contract Management) strongly ... & Innovation** 1. Identify automation opportunities across registration, coding, billing , denial management, and patient collections to reduce manual work… more
- ZOLL Medical Corporation (Bronx, NY)
- …is provided to intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all ... of patients indicated for a WCD and all essential ordering and billing requirements.Essential Functions + Provide customers with relevant clinical data that supports… more
- Highmark Health (Albany, NY)
- …**Required** + 5 - 7 years in a relevant operational area (eg customer service, claims , enrollment and billing , etc.) to include 3 - 5 years of technical ... BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively… more
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