- Molina Healthcare (Rochester, NY)
- …managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and modifier usage. + Strong ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more
- Independent Health (Buffalo, NY)
- …setting required. + Ability to lift 40lbs. + Experience working with online claims processing system preferred. + Effective oral and written communication skills ... Set up, package, and label medication doses. + Perform designated tasks regarding processing of equipment and supply orders, and preparation of sterile products. +… more
- AccentCare, Inc. (Brooklyn, NY)
- …incidents with other vendors. + Be responsible for timely and accurate claims processing , account reconciliation and related reporting functions. + Conduct ... weekly processing of billing performed in a timely manner. Verify accuracy of billing rates and interface with referral sources, payers, and clients regarding… more
- FLACRA (Newark, NY)
- …FLACRA's billing and payment collection processes. This position is responsible for processing claims , managing accounts receivable, and ensuring timely and ... outstanding balances. + Work with insurance companies to address disputed claims and resolve processing issues. + Maintain and update tracking spreadsheets for … more
- University of Rochester (Rochester, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established procedure for missing ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the… more
- Ryder System (Albany, NY)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- City of New York (New York, NY)
- …guidelines. The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; ... children and families served by ACS. The Human Services Payments unit's scope includes processing payments to 94 vendors on more than 300 contracts through the MOCS… more
- Molina Healthcare (Syracuse, NY)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of ... SQL 2005/2008 SSRS report development + Familiar with relational database concepts, and SDLC concepts **Preferred Education** Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. **Preferred Experience** 3 - 5… more
- Molina Healthcare (Yonkers, NY)
- …health care operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) * Advanced understanding on health care ... financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as… more
- Rochester Regional Health (Rochester, NY)
- …Responsibilities Responsibilities will include basic knowledge of medical billing, medical claims processing and accounts receivable collections. The Medical ... collection specialist must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within Meditech and Emdeon to identify denial trends as well as be responsible for locating and monitoring overdue third party accounts… more