- Catholic Health (Buffalo, NY)
- …and technology method of transformation. Supports the organizations Revenue Cycle claims and remittance process. Identifies and implements EPIC and/or 3rd Party ... the technical mechanics to support the work. A level II Analyst does so at a intermediate complexity and...general, and work is supervised and guided by director, manager or team member. Employee knows and analyzes procedures,… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II ** **Hours: Monday - Friday 9 - 5:30 pm EST, plus 3 times a month 11:30 - 8 pm EST.** **Location:** This role enables ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for care management within the scope… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II ** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... receipt and meet the criteria._** The **Telephonic Nurse Case Manager II ** is responsible for care management...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working ... claims , submitting appeals and taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative II reports to Accounts… more
- WSP USA (New York, NY)
- This Opportunity WSP USA is initiating a search for a **Project Officer/Construction Manager ** in **New York City** (all 5 boroughs) supporting our client, School ... SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as...and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... and required. + Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Performs more complex investigations… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (CQI) teams, consistent adherence to the specific rules and regulations of The Dr. Martin Luther King, Jr. Health Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and… more
- Ellis Medicine (Schenectady, NY)
- The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited ... and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… more
- Elevance Health (Latham, NY)
- **Utilization Management Representative II ** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required ... shift between 8 am - 8 pm EST. The **Utilization Management Representative II ** is responsible for managing incoming calls, including triage, opening of cases and… more
- University of Rochester (Rochester, NY)
- …charges. SUPERVISION AND DIRECTION RECEIVED: Under supervision of department manager or other designated authority. SUPERVISION AND DIRECTION RECEIVED: Under ... supervision of department manager or other designated authority. SUPERVISION AND DIRECTION EXERCISED: None. MACHINES AND EQUIPMENT USED: Such department equipment as… more