- Mount Sinai Health System (New York, NY)
- …or revenue cycle management, with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that involved ... systems. ? Deep understanding of the revenue cycle, hospital and professional claims processes, and related regulations. ? Familiarity with contract terms, NYS… more
- Cognizant (Albany, NY)
- … Claims Processor, you will ensure accurate and timely adjudication of professional and hospital claims utilizing payer specific policies and procedures. ... CPT, HCPCA, ICD-10 + Experience making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims . + Knowledge of Medicare/Medicaid payment… more
- Cognizant (Albany, NY)
- … Processor** is responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. ... CPT, HCPCS, ICD-9 + Experience with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims + Knowledge of Medicare billing & payment and coverage… more
- Cognizant (Albany, NY)
- …Specialist, you will be responsible for timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. ... CPT, HCPCS, ICD-10 * Experience making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare/ Medicaid payment… more
- Travelers Insurance Company (New York, NY)
- …will specifically manage Accountants Professional Liability (APL) and Real Estate Professional Liability (RPL) claims and litigation against various types of ... accounting and real estate professionals. Typical claims may include professional negligence, malpractice, breach of fiduciary duty and misrepresentation, among… more
- Axis (New York, NY)
- … professional associations to stay abreast of changes in claims management. + Communicating with senior executives, brokers, reinsurers, actuaries, underwriters, ... claims processing. + Show a commitment to continuous professional development in the field of claims management. + Have the ability to critically review and… more
- Allied Universal (Buffalo, NY)
- …Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property Casualty ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Develop and document information on any investigation in a professional and expert manner by writing clear, concise, and… more
- Amazon (New York, NY)
- …Amazon's Global Risk Management Claims team is seeking a talented risk professional to support our rapidly growing and evolving corporate auto program. Key job ... responsibilities *Oversight of complex, high value claims . *Develop strategy and action plans for ... claims . *Develop strategy and action plans for claims in tandem with internal/external counsel, TPA's, and insurance… more
- University of Rochester (Rochester, NY)
- …as assigned. Qualifications: - Required: Associates Degree and 4-5 years of professional medical claims billing and collecting experience; or equivalent ... to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve… more
- Humana (Albany, NY)
- …APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
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