- New York State Civil Service (Oxford, NY)
- …NY Zip Code 13830 Duties Description Will perform medical billing and claims processing, including payment, coordination or subrogation of benefits. Review claims ... and benefit plan interpretation to patients or their representatives. Review claims for irregularities, accuracy, completeness, and obtains additional information as… more
- New York State Civil Service (Albany, NY)
- …Manager, Cost Control takes a lead role in Project Controls functions of claims management, claims negotiation, and litigation support on complex capital ... environmental issues and other non-traditional project variables. Essential FunctionsDevelop claims strategies as needed on projects. Oversee analysis of … more
- University of Rochester (Albany, NY)
- …Work Shift: UR - Day (United States of America) Range: UR URC 205 H Compensation Range: $19.62 - $26.49 _The referenced pay range represents the minimum and maximum ... compensation for this job. Individual annual salaries/hourly rates will...individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across… 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 ... ICD (coding and CCI edits). + Anesthesiology Experience Preferred + Electronic claims processing preferred. **Responsibilities** + Follows up on submitted claims… more
- Molina Healthcare (Rochester, NY)
- …execute effective Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as well as ... Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate payment levels, optimize resource utilization,… more
- University of Rochester (Rochester, NY)
- …Work Shift: UR - Day (United States of America) Range: UR URC 205 H Compensation Range: $19.62 - $26.49 _The referenced pay range represents the minimum and maximum ... compensation for this job. Individual annual salaries/hourly rates will...as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing… more
- Sedgwick (Albany, NY)
- …**_Bilingual/French Speaking Desk Adjuster_** **PRIMARY PURPOSE** **:** Handles losses and claims valued up to $15,000 for property and casualty insurers through ... processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records… more
- University of Rochester (Rochester, NY)
- …Work Shift: UR - Day (United States of America) Range: UR URC 206 H Compensation Range: $20.99 - $28.34 _The referenced pay range represents the minimum and maximum ... compensation for this job. Individual annual salaries/hourly rates will...to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Flowcast billing application,… more
- GE Vernova (Schenectady, NY)
- …project execution and ensures that commercial risks and opportunities (notably claims , change orders, vendor and insurance recoveries) are identified early, tracked, ... as negotiation. **Job Description** + Implement risk mitigation strategies + Develop claims settlement agreements + Manage and drive Contract Change Order execution… more
- St. Mary's Healthcare (Amsterdam, NY)
- …8am- 4:30pm Hours Per Week: 40 hours Hiring Range: $20.23-$27.06 The actual compensation for this position will be determined based on experience and other factors ... procedures to guide and educate insurance teams. . Collaborate with the Senior Claims Analyst to review issues, adjust workflows, and reduce unnecessary workloads. .… more