- Excellus BlueCross BlueShield (Rochester, NY)
- …policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and ... case for clinical staff. + Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to provide support to… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- GE Vernova (Schenectady, NY)
- …Manager will be a commercial expert in preventing and mitigating high dollar value claims and risks. In this role, you will: + Research, develop and implement risk ... mitigation strategies + Research and author claims settlement agreements + Manage and drive Contract Change Order execution in accordance with GE entitlement,… more
- CDPHP (Latham, NY)
- …performing a detailed mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with all New York ... support CDPHP's customer service levels. Ownership is assumed for all aspects of claims examining and data entry on the FormWorks system, utilizing and interpreting… more
- City of New York (New York, NY)
- …responsible specialized administrative work supervising the functions of the City-wide Claims Units and/or supervising the functions of the City-wide Special ... Projects Units. The City-wide Claims Units are responsible for...individual's sex, race, color, ethnicity, national origin, age, religion, disability , sexual orientation, veteran status, gender identity, or pregnancy.… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain ... limited to telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Microsoft Word, Excel, Access, Email,… 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 (Albany, NY)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... with a wide range of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team of professionals who are dedicated… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring 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
- City of New York (New York, NY)
- …5141. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer files, enters information into computer, and updates… more