- Molina Healthcare (Albany, NY)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Candidate will be responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient ... accounts, resolving denials, and fielding all incoming correspondence. Candidate will answer incoming phone calls from patients pertaining to billing, insurance, and payments. Minimum Qualifications: 2-3 years Medical Billing Experience- Radiology preferred… more
- ThermoFisher Scientific (Rochester, NY)
- …and documentation. + Support material change risk assessments and verify product claims align with global industry standards (ISO 10993, USP, Pharm Eur, ICH ... food contact, BSE/TSE, etc). + Review and approve product development reports, non-conformance reports, product changes, and new product data entry. + Provide customer regulatory support for compliance requests and resolve product non-conformities, product… more
- GE Vernova (Saratoga Springs, NY)
- …place between approved project financial data and books + Support project close out and claims + Lead the team of Project Cost Control analysts on larger projects + ... Provide support to tenders + Oversee the planning function on the project + Ensure quality of the project controlling reporting. + Ensure accuracy of cost budgets, actuals, and forecasting + Ensure collaboration with functional cost owners to find strategies… more
- Racker (Ithaca, NY)
- …Generates reports to track utilization data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends and generates reports for ... each program, OSHA logs, and safety committee. Is an active member of the Safety Committee. + Effectively interprets FMLA, ADA, and Return to Work implications as they relate to leaves of absences/disabilities. + Assists with accuracy of all benefits… more
- University of Rochester (Rochester, NY)
- …a robust billing system and all necessary front-end support operations, including claims submission and revenue cycle management. + Design and implement a ... comprehensive referral process, ensuring seamless intake and admission procedures. + Lead the initial setup and ongoing implementation of Quality Improvement (QI) monitoring systems, Institutional Review Board (IRB) processes, and outcome measurement systems… more
- City of New York (New York, NY)
- …Justice system. Assist clients with the completion of and filing of victim compensation claims with the State Office of Victim Services. Prepare letters and forms to ... assist with other entitlements. Advocate with public and private agencies. Escort clients to court and confer with assistant district attorneys. Manage case data and related preparation and submission of statistical data. Fieldwork is required. All other… more
- University of Rochester (Rochester, NY)
- …signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider ... signature. - Manages provider(s) documentation and information. Composes and types non routine correspondence providing factual information. - Arranges travel, conference registration and hotel accommodations. Interfaces with organizations, hospitals and… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …products used in orthopedic practice. + Knowledge of medical insurance claims procedures and documentation. + Excellent communication, organizational and business ... management skills required. Physical Demands + Requires heavy physical work; heavy lifting, pushing, or pulling required of objects up to 50 pounds occasionally. + Involves standing, walking, and kneeling. Physical work is a primary part (more than 70%) of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …inbound inquires related to prior authorizations and assists billing group on insurance claims . Completes outbound calls to payors and clinics to assist with prior ... authorizations. + Verifies insurance coverage related to prior authorizations by phone, online or through E1 (electronic system) transactions for all new patients and/or changes in coverage. + Enters patient insurance information under the patient's account in… more