- University of Rochester (Albany, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments to generate a ... billing requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and… more
- Cardinal Health (Albany, NY)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing . + Processes claims : investigates insurance claims ; ... administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Medicaid, CPT, HCPCS, ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems, claims flow, adjudication process, system edits ... in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned,… more
- Walmart (Clifton Park, NY)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of...of college. Option 2: 1 year's experience as a supervisor in a multi-department environment. Option 3: 1 year's… more
- Robert Half Accountemps (Rochester, NY)
- …by effectively and accurately managing receivables. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve ... policies and/or phone calls to the payer. Submit corrected claims and appeals. Process account adjustments and refunds as...and system updates. Report problems and patterns to the supervisor to help keep policies and procedures up to… more
- City of New York (New York, NY)
- …Assistance Program- Claims and Recovery (SNAP-CR). - Return documents to supervisor to be returned to the Eligibility/ Processing Specialists for Indexing ... for data entry. Maintain controls on items submitted for processing and ensure data entry is done in a...lapse of assistance or incorrect payments. - Maintain for supervisor , a daily log of all assigned cases for… more
- Lakeview Health Services (Geneva, NY)
- …supervision, is responsible for a variety of office/clerical tasks relating to claims processing ; contacting responsible parties to resolve past-due accounts; ... by batch in accordance with established protocol + Submit claims to 3rd party sources of payments + Post...funding continuity and stability + Perform prompt and accurate processing of all bank deposits and transfers + Post… more
- 32BJ Benefit Funds (New York, NY)
- …and under the supervision of the Member Services Call Center or Welcome Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services ... eligibility or Fund benefit issues. + Displayed proficiency in all processing systems: eligibility process, Health benefits and system, COOL/V3/DYNAMICS system,… more
- Catholic Health Services (Melville, NY)
- …Long Island's Top Workplace! Job Details Under the direction of the Supervisor , the Patient Account Representative is responsible for accurate and timely hospital ... billing, follow up, collections, cash processing and customer service related activities. Responsibilities: + Reviews,...primary and secondary billing, submits hard copy or electronic claims to appropriate payors. + Reviews and edits any… more
- Capital Region BOCES (Albany, NY)
- …sorts and distributes incoming mail. + Checks, codes and processes requisitions, claims and bills. + Prepares and maintains financial, statistical and personnel ... a basis for reports and memoranda and prepares summaries. + Transmits instructions from supervisor to staff and follows up to ensure deadlines are met. + Answers… more