- NYU Rory Meyers College of Nursing (New York, NY)
- Position Summary Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial ... by payers. Contact payer to resolve appeals and final solution to claims . Collaborate with the Director of Insurance Strategy in developing, implementing and… more
- WMCHealth (Kingston, NY)
- …Applicant link Job Details: To submit and/or follow-up on all claims for HealthAlliance for multiple payors. Responsibilities: + Demonstrates proven abilities ... as it relates to the billing and follow-up of claims . + Responsible for filing insurance claims ...to the department dress code policy and maintains a professional appearance and positive attitude. + Analyzes daily electronic… more
- WMCHealth (Kingston, NY)
- …Applicant link Job Details: To submit and/or follow-up on all claims for HealthAlliance for multiple payors. RESPONSIBILITIES + Demonstrates proven abilities ... as it relates to the billing and follow-up of claims . + Responsible for filing insurance claims ...to the departmental dress code policy and maintains a professional appearance and positive attitude. + Analyzes daily electronic… more
- Mount Sinai Health System (New York, NY)
- …preferred). + EPIC certification(s) in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly ... preferred. + Minimum 7-10 years of progressive experience in healthcare revenue cycle management, with at least 5 years in EPIC optimization or related EMR optimization leadership roles. + Proven track record of leading automation and workflow redesign… more
- Conifer Realty LLC (Rochester, NY)
- …estate development company. This position requires a detail-oriented and proactive professional with 6-10 years of paralegal experience in corporate, real estate, ... business units and external stakeholders, and maintaining oversight of litigation and claims reporting for the organization. Position Details + Full-Time + Exempt +… more
- Elevance Health (Latham, NY)
- …as single point of service support (eg, phone and e-mail inquiries, claims , enrollment, billing) to Elite Broker contacts (Brokers, General Agents, Agencies, etc.) ... plan offerings, have issues that are impacting multiple service areas such as claims , eligibility, etc. and provide onsite support as needed) with timely and… more
- Ellis Medicine (Schenectady, NY)
- …Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider ... and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to...other healthcare providers, physicians and adverse situations, in a professional and courteous manner. + Provides assistance and information… more
- Sedgwick (Albany, NY)
- …Services & Insurance Executive General Adjuster **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help… more
- CVS Health (Albany, NY)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Molina Healthcare (NY)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more