- Syracuse Community Health Center (Syracuse, NY)
- …management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health record system. This role requires ... Medical Terminology required. Demonstrated understanding of billing requirements for claims , demonstrated knowledge of healthcare insurer reimbursement systems, payer… more
- CVS Health (Albany, NY)
- … service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- The Institute for Family Health (New Paltz, NY)
- …the ability to perform administrative, data entry, and /or customer service duties. RESPONSIBILITIES: + Maintains complete understanding of designated accounts. + ... + Provides clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets as directed… more
- Catholic Health (Williamsville, NY)
- …encounters are accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and contracted payer ... limited to, the following : (1) Review of all claims for accuracy of demographic and charge information (2)...company or State/Federal agency. A high level of customer service is expected in this role at Catholic Health.… more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds as needed according… more
- City of New York (New York, NY)
- …in New York City. - Interview members of the public alleging claims of discrimination; engaging in pre-complaint interventions, investigations, and files complaints ... where appropriate. - Investigates claims of discrimination made by members of the public...any state bar; or 3. Six months of satisfactory service as an Agency Attorney Interne (30086). Incumbents must… more
- Callen-Lorde Community Health Center (New York, NY)
- …ensure compliance and accuracy: + Billing and Revenue Cycle Management:Capturing patient service charges in EPIC, preparing and submitting electronic and paper ... claims , processing payments from third-party payers and patients, and...sequencing and modifiers, reviewing and validating coding for denied claims , and serving as a coding resource for the… more
- City of New York (New York, NY)
- …and public accommodations. - Interview members of the public alleging claims of discrimination; engaging in pre-complaint interventions, investigations, and file ... complaints where appropriate. - Investigate claims of discrimination made by members of the public...any state bar; or 3. Six months of satisfactory service as an Agency Attorney Interne (30086). Incumbents must… more
- NBC Universal (New York, NY)
- …Stations, Bravo, USA Network, and Peacock, our premium ad-supported streaming service . We produce and distribute premier filmed entertainment and programming through ... worker classification, reasonable accommodations, workforce management, discrimination and harassment claims , wage-and-hour and workplace safety, including as it relates… more
- Zurich NA (New York, NY)
- …delegated authority levels on assignments of higher technical complexity ensuring a high-level service to customers. This role will be filled at either a Large ... and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more