- Catholic Health Services (Melville, NY)
- …and approves all primary and secondary billing, submits hard copy or electronic claims to appropriate payors. + Reviews and edits any rejections stemming from ... electronic billing submissions and corrects and resubmits claims , as required. + Verifies accuracy of patient insurance and demographic information. + Generates… more
- WellLife Network (NY)
- …balances. **Essential Functions:** 1. Prepare and submit timely, and accurate claims to private and public insurance payers, including Medicare, Medicaid, and ... and HCPCS) prior to claim submission. 3. Analyze denied or underpaid claims , identify root causes, and coordinate resolution with payers and internal departments.… more
- Pfizer (New York, NY)
- …**BASIC QUALIFICATIONS** + 10+ years Marketing or Media experience in a professional environment, with experience managing and building teams + BS Degree in ... industry and healthcare environment, specifically with an understanding of healthcare claims data and its application to marketing optimization + We look… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers, ... programs (eg, Peace Corps, AmeriCorps) and other organizations (eg, professional ; philanthropic; religions; spiritual; community; student; social). Volunteer work… more
- City of New York (New York, NY)
- …payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their ... revenue collection for outstanding balances. Investigate and research unidentified claims /payments received to determine its appropriateness to deposit the payments.… more
- CVS Health (Albany, NY)
- …regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** ... and internal business partners to establish and maintain productive, professional relationships. * Monitors service capabilities and collaborates cross functionally… more
- CVS Health (Albany, NY)
- …well as for internal staff and aligns Network functions with Operations and Claims as needed. + Collaborates with internal partners to assess effectiveness of ... + Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and Network Performance Standards +… more
- AIG (New York, NY)
- …learn about AIG's global business operations, particularly as it relates to our Claims and Underwriting processes. You will be responsible for managing the dispute ... decisions, and prepare related documentation, such as final decision letters, claims settlement terms, and/or regulatory submissions. . Build AIG's relationships… more
- AECOM (New York, NY)
- …DSO, G&A, project delivery, client satisfaction, staff utilization, safety, claims resolution and quality. **Capability Development (People, Practice and Tools)** ... achievement, DSO, G&A, project delivery, client satisfaction, staff utilization, safety, claims resolution and quality. + Experience growing of a regional business… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... health information, 2) adherence to policies, procedures, rules, and regulations, 3) professional conduct in dealing with persons internal and external to the… more