- New York State Civil Service (Albany, NY)
- …State NY Zip Code 12206 Duties Description Under the general supervision of a Claims Services Representative 2 responsibilities include, but are not limited ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/ 2...settlements * Issue payments and request for reimbursement where claims for supplemental benefits are involved * Review… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …status of the issue. + Adjust claim(s) as warranted based on discussion and review of the provider's issue. + Deliver all information and questions in a positive, ... applicable state and federal regulations. Education and Experience : + HS Diploma + 2 years of college preferred About us: Centers Plan for Healthy Living (CPHL), is… more
- CRC Insurance Services, Inc. (NY)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... 1. Bachelor's degree with a concentration in business or equivalent work experience 2 . Three years of Claims handling experience and commercial and multi-line… 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...any deficiencies. + Prepare summaries for management of quality review results, including basic analysis of identified trends. +… 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 ... system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. EDUCATION… more
- Elevance Health (Latham, NY)
- **Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... accommodation is granted as required by law._ The **Utilization Management Representative II** is responsible for managing incoming calls, including triage, opening… more
- Amalgamated Bank (Bronx, NY)
- Amalgamated Bank is seeking a Retail Banking Representative to be responsible for providing a high quality of Customer Service in a broad variety of activities. This ... those products and services to individual customer needs + Review and verify all previous days' work to ensure...matters (ie check cashing). + Research and investigate customer claims in archive area, in matters relating to missing… more
- KPH Healthcare Services, Inc. (Camden, NY)
- …for collecting, posting and managing account payments. + Prepares and submits claims to various insurance companies and follow up when appropriate. + Prepare, ... review and issue patient statements. Resolve patient billing complaints/issues....to all HIPAA guidelines and regulations. **Qualifications** **Qualifications:** Preferred: 1- 2 years of previous experience in a customer service… more
- University of Rochester (Albany, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working ... process taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ...to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and… more
- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working ... and taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ...services. 25% + Follows up on denied accounts through review of remittances (EOBs), insurance correspondence, rejections received thru… more