- CenterLight Health System (NY)
- …operational enhancements. Responsible for reviewing and implementing accurate medical/coding policies and Claims Manager edits across all PACE sites and other ... This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding… more
- University of Rochester (Rochester, NY)
- …resolution and adjudication, including refund of credits + Review and advise supervisor or manager on trends of incorrectly paid claims from specific payers + ... as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues...you're looking for a career in higher education or health care, the University of Rochester may offer the… more
- Travelers Insurance Company (Albany, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...facts or allegations of each case. + Work with Manager on use of Claim Coverage Counsel as needed.… more
- Travelers Insurance Company (New York, NY)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Travelers Insurance Company (Albany, NY)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... Practices. Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage … more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Travelers Insurance Company (New York, NY)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Mount Sinai Health System (New York, NY)
- …appeals opportunities with payors and networks, and reporting performance on underpaid claims . **Qualifications** + Bachelor's degree or greater in related field or ... + 2 years minimum of managed care experience in claims or contracts + Advanced knowledge of Epic and...and analyzes data in our contract compliance tool (Contract Manager ), EPIC, and payor policy detail for identified payment… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- University of Rochester (Rochester, NY)
- …responsible for the accurate and timely preparation and submission of third-party billing/ claims to governmental or third-party payers. Re-submits claims that ... fail third party edits and submits second level claims . Provides guidance and support to Billing Assistant and answers correspondence. Responsibilities Location:… more