- WMCHealth (Valhalla, NY)
- …diploma and four years of clerical experience, one year of which included the processing of patients' medical insurance claims as the primary function of the ... year. There is no substitution for the one year of specialized experience processing patients' medical insurance claims . *Special Note: Education beyond the… more
- Molina Healthcare (Buffalo, NY)
- …contracts, pricing configuration, claim adjudication or reimbursement processes + Experience processing or reviewing facility claims + Prior professional ... health plan representatives, and other business teams involved in claim processing . Maintains expertise in all forms of reimbursement methodologies including fee… more
- CUNY (Queens, NY)
- …disbursements or refunds; keep logs and issues pertinent receipts. - Assists in processing invoices, vouchers, claims , statements, bills, etc. - Perform various ... accounts and in performing reconciliations. - As instructed, examines invoices, claims , vouchers, etc.; verifies documents for accuracy by reviewing supporting data… more
- New York State Civil Service (Schenectady, NY)
- …policies, or procedures; reconciling accounts; or experience examining, investigating, processing , or adjusting insurance claims ; or responding to ... Supervising subordinate examiner and clerical staff* Handling of complex phone calls* Processing complex correspondence* Processing returned mail* Processing … more
- Oak Orchard Health (Brockport, NY)
- …cycle operations and liaison with the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, ... the third-party billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working closely… more
- New York State Civil Service (Schenectady, NY)
- …policies, or procedures; reconciling accounts; or experience examining, investigating, processing , or adjusting insurance claims ; or responding to ... assignments, data entry, mail sorting or distribution, as well as review of claims files for settlement and hearing scheduling tasks;* Assist with any special… more
- Humana (Albany, NY)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Leviton (Melville, NY)
- …eager to learn. The Deduction Representative I is responsible for evaluating, processing , and resolving customer claims (deductions), working together with ... team is looking for a Deduction Representative I to join the Credit, Accounts Receivable & Claims department. We need individuals who thrive on challenges and are… more
- Catholic Health (Buffalo, NY)
- …up action for charity care or bad debt processing (3) Active engagement and processing of denied claims or other rebill efforts for follow up or escalation ... to ensure payment. A high level of customer service is expected in this role at Catholic Health. Responsibilities: EDUCATION + High School diploma EXPERIENCE + One (1) - three (3) years relevant experience in healthcare accounts receivable billing or… more
- Leviton (Melville, NY)
- …& Claims Finance Department. Other responsibilities will include evaluating, processing , and resolving customer claims (deductions), working together with ... for a Part-Time Deduction Representative to join the Credit, Accounts Receivable & Claims department. We need individuals who thrive on challenges and are eager to… more