- Sedgwick (Albany, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Surety Claims Advisor **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... contract surety bond claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk- Patient Financial Services (Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... limited to financial verification, preparation of Medicaid applications, billing, processing accounts, payment and/or charge posting, account resolution, follow-up… more
- University of Rochester (Rochester, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . Follows established procedure for missing insurance ... expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for working across the… more
- Lincoln Financial (Albany, NY)
- …and concerns. * Meeting all established quality assurance benchmarks. * Ensuring claims processing is consistent with applicable policies, procedures, and ... #:** 74616 **The Role at a Glance** We are excited to bring on a highly motivated Claims Manager to our Long Term Disability Claims Organization! As a Claims … more
- Sedgwick (Albany, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and process ... complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. **ESSENTIAL… more
- Actalent (Bronx, NY)
- …(COB), Worker's Compensation, No-Fault, and Subrogation conditions. Skills & Qualifications: + Claims processing and analysis. + Medical billing and claims ... handling. + Proficiency in Microsoft Office Suite. + Experience with claims processing systems or comparable database software. + Certified Professional Coder… more
- FlexStaff (New York, NY)
- …Subrogation conditions + Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor + Attends JOC meetings with providers as ... creating and testing compensation grids used for reimbursement and claims processing + Ensures that refund checks...range for this position is $33-$33/hour It is Northwell Health 's policy to provide equal employment opportunity and treat… more
- Albany Medical Center (Albany, NY)
- …Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, ... + Knowledge in billing codes and EDI requirements. + Knowledge of electronic claims processing and edits. + Excellent decision-making skills, detail oriented,… more
- Northwell Health (Lynbrook, NY)
- …+ Billing Experience: Entry-level billing experience preferred, with exposure to out-of-network claims processing a plus. + Coding Knowledge: Familiarity with ... **Req Number** 158061 Orlin & Cohen Orthopedic Group - Northwell Health is the premier and fastest-growing orthopedic practice on Long Island, providing… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... healthcare experience Preferred: Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred: Experience… more