- 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...clarifies billing issues, payment variances, and/or trends that require management intervention. + Assists department leadership with credit balances… more
- University of Rochester (Albany, 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...clarifies billing issues, payment variances, and/or trends that require management intervention. Assists department leadership with credit balances account… more
- Trinity Health (Syracuse, NY)
- …management program. Contributes to support the deployment of the Ministry Risk Management plan. **LIABILITY CLAIMS SUPPORT:** At times, accepts service of and ... Clinical Quality & Safety **REPORTS TO:** Regional Director of Risk Management **MISSION STATEMENT** **_:_** We, St Joseph's Health, St. Peter's Health… more
- Humana (Albany, NY)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- Humana (Albany, NY)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data … more
- Zurich NA (New York, NY)
- Management Liability Underwriter Public D&O 126415 Invest in your career with an industry you can bank on Insurance! We are currently looking for an experienced ... Management Liability Underwriter Public Company and work out of...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Humana (Albany, NY)
- …of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data ... of the appropriate courses of action. The Encounter Data Management Professional develops business processes to ensure successful submission...Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience… more
- University of Rochester (Albany, NY)
- … Claims Resolution Representative III reports to Accounts Receivable Management . **ESSENTIAL FUNCTIONS** With general direction of the Manager/Supervisor/Lead: + ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… 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
- Ankura (Lexington, NY)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... Drug, and Cosmetics Act; FDA regulations; The Federal False Claims Act and Anti-Kickback statute; CMS and Veteran's Administration.... Delivering timely, exceptional work product . Strong time management and project management skills with a… more