- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. + Follows up on unpaid accounts working claims . + Reviews reasons for claim denial. + Reviews payer website or contacts ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits … more
- University of Rochester (Albany, NY)
- … to obtain and verify insurance coverage. Follows up on unpaid accounts working claims . Reviews reasons for claim denial. Reviews payer website or contacts payer ... open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits … more
- Citigroup (Getzville, NY)
- …and product processor systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim is paid /settled; ... & Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market… more
- Cognizant (Albany, NY)
- …you will make an impact by managing and resolving physician claim denials through advanced problem-solving, including identifying root causes and implementing ... **In this role, you will perform:** + **Resolution of Claim Denials** : Perform advanced work related to resolving...**Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up… more
- Catholic Health (Buffalo, NY)
- …applicable laws, regulations, and procedures for handling NYS Workers' Compensation and Disability claims . This position also requires the necessary expertise ... legal field preferred + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), and/or claim adjuster...Minimum of three (3) to five (5) years of claims management or disability case management work… more
- USAA (New York, NY)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes… more
- City of New York (New York, NY)
- …Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when ... in the best interest of the city, settles pre-litigation claims for and against the City of New York....Based on the BLA's review and investigation of any claim , the City of New York may extend an… 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 ... to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments… more
- Independent Health (Buffalo, NY)
- …related phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. ... interpret basic COB information as it relates to Independent Health's obligation for claim payment and follow New York State Rules & Regulations, NAIC Guidelines,… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **ESSENTIAL...are contacted. + Resolves complex, high dollar, and specialized claim resolution issues due to coordination of benefits, eligibility… more