- University of Rochester (Albany, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... productivity, and provider relationships across all departments. Additionally, the Assistant Coding Manager is responsible for ensuring proper training and supervision of assigned staff members, while implementing and upholding URMFG best practice standards.… more
- University of Rochester (Rochester, NY)
- …responsible for the accurate and timely preparation and submission of third-party billing/ claims to governmental or third-party payers. Re-submits claims that ... fail third party edits and submits second level claims . Provides guidance and support to Billing Assistant and...train and coordinate activities of peers as directed by Supervisor , Revenue Cycle Management and Manager. Machines and Equipment… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
- Sedgwick (Rochester, NY)
- …- Hybrid **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Travelers Insurance Company (New York, NY)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file...independent decisions on most assigned cases without involvement of supervisor . + Openness to the ideas and expertise of… more
- University of Rochester (Rochester, NY)
- …activities of peers and lesser-grade staff, as directed by the Supervisor . Independent judgment is necessary in escalating collection activities and determining ... to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Flowcast billing application, Microsoft… more
- University of Rochester (Albany, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… more
- City of New York (New York, NY)
- …together. The Bureau of Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New York. The Property Damage ... Division investigates and resolves tort claims including, but not limited to, automobile accidents, defective...variety of matters. Under the direction of the division supervisor , with latitude for independent judgment and initiative, the… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more