- Independent Health (Buffalo, NY)
- …and maintain an acceptable level of production as outlined in the Claims /COB Performance Management Policy with minimal supervision and demonstrate basic ... phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. The COB… more
- EFI Global (Buffalo, NY)
- …in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, ... banking methodology, and claims operating systems + Excellent oral and written communication,...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- University of Rochester (Rochester, NY)
- … and resolve billing issues. Must track payer/billing issues that affect reimbursement of claims and advising the management team of those trends and propose ... primary levels of third-party insurance; prepare log and related management reports when needed, price claims to...and related management reports when needed, price claims to establish the expected reimbursement in the revenue… more
- University of Rochester (Rochester, NY)
- … and resolve billing issues. Must track payer/billing issues that affect reimbursement of claims and advising the management team of those trends and propose ... primary levels of third-party insurance; prepare log and related management reports when needed, price claims to...and related management reports when needed, price claims to establish the expected reimbursement in the revenue… more
- BronxCare Health System (Bronx, NY)
- …participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in ... Overview Conduct review of denied claims and audits of registration/insurance verification activities to...Health System (a) Safety and Security Policies, (b) Risk Management : Incident and Occurrence Reporting, (c) Infection Control Policies… more
- Stony Brook University (East Setauket, NY)
- …and validate business processes and business systems configuration, including: Patient Billing, Claims Scrubber, Contract Management and Work Listing Software. + ... and ICD-10 coding principles. + Knowledge of Invision Patient Accounting, RPM, Contract Management and/or Claims Scrubber Software. + Knowledge of SQL or… more
- Molina Healthcare (Yonkers, NY)
- …* Prior experience working in the healthcare industry with familiarity in clinical, claims , or care management data. * Experience with cloud platforms (AWS, ... data team. This role encompasses the end-to-end design, development, and management of large-scale data systems tailored for healthcare analytics. The ideal… more
- Stony Brook University (East Setauket, NY)
- …volume, and trends. + Assists in maintaining and creating payer report cards, claims tracking and management reporting as requested. + Assists management ... Queries. + Experience reporting from healthcare decision support, patient accounting, contract management and/or claims scrubber systems. + Proficiency with SAP… more
- AccentCare, Inc. (Brooklyn, NY)
- …related matters. 13. May assists or train leaders on the evaluation of unemployment claims management . 14. Partners with HRSC for review of any escalated ... union (dues, political action fund, hours reports, etc.); participating in union/ management meetings. Retention: following up on red/yellow/green and 1:1 monthly… more
- Tutor Perini (White Plains, NY)
- …and factual assessments of project performance. + Participate in change orders and claims management + Identify and resolves changing site conditions or other ... parties **REQUIREMENTS:** + Bachelor's Degree in Civil Engineering or Construction Management or similar, from an accredited institution + Heavy Civil construction… more