- Rochester Regional Health (Rochester, NY)
- SUMMARY The C & D specialist is responsible for reviewing accounts which have been denied or underpaid by third party payers and to resolve the issues resulting in ... denial/underpayment and to formally appeal. The specialist will conduct comprehensive reviews of clinical documentation to determine if an appeal is warranted.… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for protecting ... act on behalf of the Bureau of Fraud Investigation, Liens and Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their staff review cases,… more
- TEKsystems (Rochester, NY)
- …experience such as front desk, secretary, billing assistant, data entry, filing clerk, claims or denials specialist etc Office experience and billing experience ... Billing Assistant (SBO), Business Office Representative (SBO), Epic, Hospital billing, Claims and denials Additional Skills & Qualifications Preferably a 2 or… more
- WSP USA (New York, NY)
- …and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate action. + ... and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in...of full time, progressively responsible work as a technical specialist in one or more construction and design related… more
- City of New York (New York, NY)
- …assisting with new hire onboarding and other tasks as needed. CLAIM SPECIALIST - 30726 Qualifications 1. A baccalaureate degree from an accredited college ... or university and two years of full-time satisfactory experience investigating and/or settling claims for personal injury or property damage or loss; or 3. A… more
- Catholic Charities of the Dioscese of Albany (Albany, NY)
- …through: + Assist employees in the benefits program enrollment and benefit claims processes + Maintain changes to the employee benefit platforms including employee ... salary adjustments and benefit eligibility status; Assist the Employee Benefits Specialist with maintenance of the pension platform + Facilitate the resolution… more
- Trinity Health (Troy, NY)
- …and practice workflows: + Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties including but not limited ... and/or diagnostic tests. + Obtains pre-authorizations for diagnostic testing for specialist office visits as assigned. + Obtains referrals for specialist… more
- Trinity Health (Troy, NY)
- …standards and practice workflows: Scheduling and registration Check-in Check-out Charge entry/ claims End of day processes General duties including but not limited ... ancillary and/or diagnostic tests. Obtains pre-authorizations for diagnostic testing for specialist office visits as assigned. Obtains referrals for specialist … more
- Trinity Health (Albany, NY)
- …and practice workflows: + Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties including but not limited ... and/or diagnostic tests. + Obtains pre-authorizations for diagnostic testing for specialist office visits as assigned. + Obtains referrals for specialist… more
- University of Rochester (Rochester, NY)
- …which includes but is not limited to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed + Hold Bill Worklists + Statement Edits + ... a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement… more