- CRC Insurance Services, Inc. (NY)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...PHYSICAL REQUIREMENTS : The physical requirements described here are representative of those that must be met by an… more
- CDPHP (Albany, NY)
- …invites you to be a part of that experience. The Document Service Representative shall assume full responsibility for the completion of the necessary activities ... performing a detailed mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with all New York… more
- CDPHP (Albany, NY)
- …invites you to be a part of that experience. The Customer Care Representative shall assume full responsibility and ownership for all aspects regarding education of ... advise the customer of their rights and responsibilities. The Member Service Representative will work closely with all departments, such as Marketing, Enrollment,… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, ... eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service...calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address… more
- Monroe Plan for Medical Care (Rochester, NY)
- Utilization Management Intake Representative II Summary Title:Utilization Management Intake Representative II ID:UM 42 (ROC) Location:Rochester, Buffalo, ... culture! We are currently looking for an experienced and qualified, Intake Representative for our Utilization Management team. We offer competitive pay, flexible… more
- Ellis Medicine (Schenectady, NY)
- The Accounts Receivable Representative will be responsible for achieving accurate and timely accounting of all Inpatient and Outpatient accounts receivable as set by ... outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to...the provider and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to… more
- Leviton (Melville, NY)
- …and constantly changing world. About the role The Accounts Receivable Representative will be responsible for ensuring the precise recording and application ... of all customer cash receipts and the posting of claims and chargebacks. This role will evaluate, process, and resolve customer deductions efficiently, working with… more
- New York State Civil Service (Endicott, NY)
- …HELP Yes Agency Insurance Fund, State Title Assistant Insurance Fund Services Representative - NY HELPS Occupational Category Other Professional Careers Salary Grade ... only Case Manager in the NYS Segment.* Work-up and process Workers' Compensation claims .* Approve and deny medical bills.* Respond to claimant and provider inquiries… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Business Office Representative Department: Billing Location: Riedman Campus SUMMARY: Ensure full reimbursement is received by RRH for clinical services ... managing a receivable . Resolve edits to ensure accurate claims are sent to primary and secondary insurances ....policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds… more