- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted ... secondary balances to appropriate financial class and provide documentation for processing the claims . 9. Reviews Credit Letter Sent (CLS) and transfers balance… more
- Sedgwick (Syracuse, NY)
- …regulations and processes. This position is responsible for managing and processing workers' compensation claims , ensuring timely and accurate decisions ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | New York Jurisdiction | Dedicated Client **Candidates within… more
- Sedgwick (Albany, NY)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to mid-level… more
- City of New York (New York, NY)
- …Area Supervisor, who will: - Directly and indirectly supervise staff in Claims processing /establishment of claims /recovery of manual payments/Program ... support. Track and ensure productivity of processing case actions in claims , establishment and imaging or recovery units. - Develop, complete. reviewing and… more
- Molina Healthcare (Buffalo, NY)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... years operational managed care experience (call center, appeals or claims environment). + Health claims processing...center, appeals or claims environment). + Health claims processing background, including coordination of benefits,… more
- Independent Health (Buffalo, NY)
- …Experience in navigating multiple systems while interacting with a customer and/or processing claims . + Assume responsibility and adhere to departmental ... Innovation + Retain technical knowledge of Independent Health's customer documentation and claims processing systems to review and maintain member records, as… more
- Molina Healthcare (Syracuse, NY)
- …Provides leadership and direction to MMS Operational Units management staff (eg, Claims Processing , Provider Services, Provider Enrollment, Finance, Managed Care ... or equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high… more
- Robert Half Accountemps (Syracuse, NY)
- …managing billing operations for Home Health Care services, ensuring timely and accurate claims processing and payment reconciliation. What You'll Do: Review and ... verify Home Health Care claims for accuracy and completeness. Submit claims and invoices to payors/clients according to billing schedules. Follow up on… more
- Mount Sinai Health System (New York, NY)
- …Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the...+ 5 years experience in medical billing or health claims , with experience in IDX billing systems in a… more
- Molina Healthcare (Buffalo, NY)
- …and tests assumptions through data, but leads with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more