- New York State Civil Service (Albany, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category Other ... Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on complex… more
- City of New York (New York, NY)
- …CIVIL SERVICE TITLE ELIGIBLE FOR 6.1.9. The Division of Financial Review and Processing (DFRP) is responsible for the initiation of adverse actions on cash ... of the Bureau of Fraud Investigation, Liens and Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their...four Eligibility Specialist III to function as a Group Processing Worker, who will: - Confirm accuracy of data… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. ? Experience in ... Description** Mount Sinai is one of the largest US health systems with a strong reputation for quality of...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- Public Consulting Group (Albany, NY)
- …Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in… more
- CVS Health (Amherst, NY)
- …provide plan benefit review, interpretation and systematic setup essential to the processing of our claims adjudication system. Meritain's proprietary system ... At CVS Health , we're building a world of health...benefit review, interpretation and systematic setup essential to the processing of our claims adjudication system. The… more
- CenterLight Health System (NY)
- …Validate Diagnosis-Related Group (DRG) grouping and (re)pricing outcomes presented by the claims processing vendor to ensure accuracy. + Coordinate with Finance ... + Proficiency in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software. + Effective oral, written, and… more
- Mount Sinai Health System (New York, NY)
- …are properly understood, interpreted, and applied across the organization, especially within claims processing . 3. Escalation and Issue Resolution: * Identify, ... revenue cycle, with particular focus on PB and HB claims . o Understanding of the legal and regulatory environment...Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where… more
- Mount Sinai Health System (New York, NY)
- …required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted ... balances to appropriate financial class and provide documentation for processing the claims . 9. Reviews Credit Letter...Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where… more
- Mount Sinai Health System (New York, NY)
- …claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing claims , maintaining related files and logs, and checking ... solving payment and other business office issues. 2. Monitors processing of claims for reimbursement and ensures...Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where… more
- Whitney Young Health Center (Albany, NY)
- …the billing and collection of medical services. This includes: creating claims according to regulations and compliance guidelines, patient account research and ... identification of payment variance invoices, follow up and resolution of denied claims . Responsible for working correspondence denials and insurance follow up. This… more