- Excelsior Orthopaedics Group (Amherst, NY)
- …Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial ... team focused, service driven, accountable, and innovative every day. + Track claim status using payer portals and billing software; investigate and resolve… more
- MVP Health Care (Rochester, NY)
- …virtual, in Schenectady or Rochester, NY + 1-2 years of data entry or claims experience preferred. High accuracy and attention to detail. + Strong data entry skills ... + Proficiency in Microsoft Word and Excel. + Familiarity with medical terminology and claims processing. + Curiosity to foster innovation and pave the way for growth… more
- Elevance Health (Middletown, NY)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...network contracting. **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review,… more
- Robert Half Accountemps (Rochester, NY)
- …to the healthcare revenue cycle by ensuring accurate billing, timely claim submissions, and efficient payment processing. This is a Contract-to-Permanent position, ... billing operations. Responsibilities: * Prepare, review, and submit accurate insurance claims in alignment with established deadlines. * Process payments received… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental and ... programs and evaluations, scheduling and timesheets. + Analyzes and identifies claim payment issues, patterns, and root cause; tracks and pursues un-timely,… more
- CVS Health (Albany, NY)
- …and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all ... identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working… more
- Sedgwick (New York, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Elderwood (Buffalo, NY)
- …+ Skilled nursing facility, assisted living facility and private pay pharmacy claim billing + Troubleshoot rejected insurance claims resulting in payments ... Bill/Invoice Review + Medicaid Pending Status Review + Medicaid claim rebilling + Updated Skilled Nursing Facility Census and...long term care or hospital. + Experience with Pharmacy claims and various types of pharmacy billing preferred +… more
- OLV Human Services (Lackawanna, NY)
- …and programs within the agency. Essential Job Duties: + Review, scrub, and submit claims in a timely fashion + Address claim rejections, denials, and ... life insurance. + Supplemental insurance programs for additional life insurance, short-term disability , accident & cancer insurance + Up to $600 every year for… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... preparing claim adjustments to maximize federal and state funding, providing...providing technical support, financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible… more