- CDPHP (Albany, 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 ... service levels. Ownership is assumed for all aspects of claims examining and data entry on the FormWorks system,...be required to successfully apply problem solving and time management methodology to balance multiple tasks as business needs… 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,… more
- Trinity Health (Albany, NY)
- …Type:** Full time **Shift:** Day Shift **Description:** **Healthcare Risk Management ** **FT Days- M-F onsite** RNs, Pharmacists, Social Workers encouraged ... healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Risk Manager in the Department of Risk Management and Patient Safety is responsible for the day to day risk management ... for The Mount Sinai Health System, including investigating, managing and analyzing risk management data; complying with risk management related standards of The… more
- Rochester Regional Health (Rochester, NY)
- …Patient Safety, Patient Relations, Security, Finance, Regulatory, Compliance, Ethics, Claims /Insurance, and Legal) to integrate risk management principles ... Job Title: Clinical Risk Management Specialist Department: Clinical Risk ManagementLocation: Riedman CampusHours Per Week: 40Schedule: Monday - Friday, 8am -… more
- University of Rochester (Rochester, NY)
- …to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Flowcast billing application, Microsoft ... Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites. **Typical Duties:** 30%… more
- University of Buffalo - Campus, Dining (Buffalo, NY)
- …ensures proper procedures and policies are followed related to the processing of disability , FMLA, PFL and workers' compensation claims , leave requests, and ADA ... to day responsibility also includes leave administration including short- and long-term disability , FMLA, PFL, non-paid and paid leaves in accordance with NYS and… more
- EAC Network (Garden City, NY)
- …in spending or funding. Timely submission of budget modifications per contract guidelines. Claims Management + Oversee the voucher process for monthly/quarterly ... is a critical role responsible for coordinating the financial management of over 100 programs funded by 60 different...develop plans to address variances. + Process and submit claims requests within 10 business days of the end… more
- University of Rochester (Rochester, NY)
- …medical records, etc.). Ensures additional documentation and/or information is provided for claims . 10% Prepares reports for management to document recurring ... to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve… more
- Robert Half Accountemps (Syracuse, NY)
- …processing. Candidates should possess a strong background in accounts receivable management and electronic claims systems, coupled with exceptional analytical ... and problem-solving skills. Responsibilities: * Review and verify claims for accuracy and completeness, correcting any missing or incorrect details related to Home… more