- Charles B. Wang Community Health Center (Queens, NY)
- …+ Maintain record of claims & payments + Maintain and report monthly statistics + Monitor denied claims processing + Perform other duties as assigned ... The Biller ensures accurate processing of medical claims using the EPIC billing system. This includes reviewing clinical documentation, assigning codes,… more
- Rochester Regional Health (Rochester, NY)
- …actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), ... terminology, physician fee schedules, DRGs, and reimbursement procedures. + Claims and Appeals Processing : Submits and follows up on insurance claims ;… more
- Molina Healthcare (Buffalo, NY)
- …is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing . + Reevaluates medical claims and associated records ... DUTIES:** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made,… 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
- Northwell Health (Lake Success, NY)
- …time off. In this role you will be ensuring timely and accurate claims processing , managing denials, and assisting with billing-related reporting and audits. ... office. Requirements: * 5+ years of experience in medical billing and claims processing , and insurance follow-up. * Certification in medical billing and coding… more
- Molina Healthcare (Rochester, NY)
- …and test assumptions through data, and leads with contextual knowledge of claims processing , provider contracts, and operational realities. * Creates succinct ... Analysis_ * Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. * Applies understanding of… more
- Highmark Health (Albany, NY)
- …**EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Cognizant (Albany, NY)
- …for configuration validation, claim analysis, and defect resolution. + Experience with dental claims processing and Coordination of Benefits (COB). + Ability to ... and optimizing benefit, pricing, and configuration solutions that directly enhance claim processing accuracy and auto‑adjudication rates. You will be a valued member… more
- UHS (Johnson City, NY)
- …Administrative Secretary on a monthly basis + Tracks and assists with documentation and claims processing for Medicare and Workers' Compensation claims to ... eligible for benefits. + Completes necessary communication for patient processing , including answering multi-line telephone system, scheduling patient appointments,… more
- UHS (Binghamton, NY)
- …Administrative Secretary on a monthly basis + Tracks and assists with documentation and claims processing for Medicare and Workers' Compensation claims to ... depending on experience + Completes necessary communication for patient processing , including answering multi-line telephone system, scheduling patient appointments,… more