- University of Rochester (Rochester, NY)
- …payment. Makes independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues ... companies and other third-party payers to obtain payments, research, and resubmit rejected claims to primary payers, obtain and verify insurance information. -… more
- University of Rochester (Rochester, NY)
- …payment. Makes independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues ... companies and other third-party payers to obtain payments, research, and resubmit rejected claims to primary payers, obtain and verify insurance information. +… more
- Stony Brook University (East Setauket, NY)
- …may include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on ... knowledge and experience with investigating, reviewing, and following up on rejected/denied insurance claims and/or experience using claims scrubber system.… more
- Stony Brook University (East Setauket, NY)
- …**may include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on ... knowledge and experience with investigating, reviewing, and following up on rejected/denied insurance claims and/or experience using claims scrubber system.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
- Mount Sinai Health System (New York, NY)
- …management to optimize the payment cycle for retail and specialty pharmacy claims . Ensure maintenance and understanding of the overall workflow of pharmacy accounts. ... accuracy, ensure collection according to contracts, understand and follow-up with insurance companies to leverage the revenue process. Utilize preferred collection… more
- University of Rochester (Rochester, NY)
- …dollar accounts. + Prepares information for and attend meetings with third-party insurance representatives on claims and systems issues for scheduled in-person ... main point of contact in claim resolution process for Strong Memorial Hospital (SMH) clinical staff and outside agencies regarding contractual obligations. Assures… more
- Trinity Health (Syracuse, NY)
- …identify witnesses, schedule interviews, depositions and other discovery). In litigated claims , assists Trinity Health Insurance and Risk Management Services ... skills. Strong management and administrative skills. **Broad-based knowledge of hospital related regulatory compliance requirements.** Presentation skills, team player,… more
- Sedgwick (Buffalo, NY)
- …efficient claim processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance French Speaking Desk Adjuster - Remote **_Bilingual/French Speaking Desk Adjuster_**… more
- Stony Brook University (East Setauket, NY)
- …**Senior Revenue Cycle Specialist** will act as an operational leader in the Hospital 's Business Office to analyze, track, and pursue the payment of underpaid and ... degree 5 plus years' experience in an Acute Care Hospital Revenue Cycle or Patient Accounting Department resolving ...limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new… more