- Healthfirst (NY)
- …contract reimbursement terms, code sets (HCPCS, ICD10, DRGs, CPT, etc.), and claims processing practices WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants ... and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital… more
- Sedgwick (New York, NY)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | Remote | Strong NY Experience... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Sedgwick (Syracuse, NY)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Examiner | NY Jurisdictional Experience | NY License Required Are you… more
- Sedgwick (Albany, NY)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you looking… more
- Sedgwick (Buffalo, NY)
- …and specific client service requirements. **ESSENTIAL RESPONSIBLITIES** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing Preferred Are you looking… more
- Sedgwick (Syracuse, NY)
- …only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal ... + Communicating claim action/ processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger or more complex … more
- The Institute for Family Health (New Paltz, NY)
- …insurance companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider ... with clearinghouse vendor and facilitates payer requirements as needed for electronic claims processing and retrieval of electronic remittance advices. + May… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. * Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. * Experience in ... contract language to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract terms are being adhered to in… more
- Molina Healthcare (NY)
- …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ )… more
- Access: Supports For Living (Middletown, NY)
- …identified revenue cycle billing issues + Handling billing cycle review procedures for pre- processing (scrubbing) of weekly claims processing + Analyze, ... throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation,...billing and processing program claims for accuracy and completeness; submit claims … more