- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems...differently based on race, color, national origin, age, religion, disability , sex, sexual orientation, gender, veteran status, or any… more
- University of Rochester (Rochester, NY)
- …open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits ... claims , submits appeals and takes timely and routine action...to not discriminating on the basis of age, color, disability , ethnicity, gender identity or expression, genetic information, marital… more
- City of New York (New York, NY)
- …Management System (FMS). - Analyze settlement of Federal and State claims filed for reimbursements for adjustments and offsetting funds. Perform reconciliation ... between aged open billed receivables reports and the settlements of all claims received from the Federal, State, City agencies and private grantors. - Create… more
- ASM Global (New York, NY)
- …talent deals for appropriate indemnification, hold harmless, and insurance provisions. 4. Claims Oversight and Coordination + Lead the organization's claims ... process by establishing clear protocols for reporting, documenting, and tracking claims related to incidents, property damage, liability, and other risk exposures.… more
- NYU Rory Meyers College of Nursing (New York, NY)
- Position Summary Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial ... by payers. Contact payer to resolve appeals and final solution to claims . Collaborate with the Director of Insurance Strategy in developing, implementing and… more
- Sedgwick (Albany, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- AON (New York, NY)
- …fashion to cross-sell Cyber Solutions products and services + Effectively utilize the claims and legal advocacy group for claim administration and counsel to assist ... manage and support Cyber Insurance Portfolio Programs, M&A and claims connected to PE backed risks. Skills and experience...under state and local paid sick leave laws, short-term disability and optional long-term disability , health savings… more
- MetLife (Oriskany, NY)
- …goals and objectives. * Identify, remove, and challenge barriers related to claims management. Escalate to senior leaders in the organization as appropriate along ... performing claim adjudication with the focus on Decisional, Financial, Claims Coding and Compliance Accuracy in accordance with the...policies to include but not limited to; Short Term Disability , Family and Medical Leave, Paid Family and Medical… more
- AON (New York, NY)
- …and in response to requests and inquiries. + Prepare underwriting submissions and claims exhibits for clients. + Request and review insurerer quotes and binders for ... premium payments. + Support the accurate organization and administration of clients' claims data and its extraction for reporting + Prepare and analyze statistical… more
- Humana (Albany, NY)
- …CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion ... data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. + Deliver project-based and ad-hoc reporting for Medicaid… more