- University of Rochester (Rochester, NY)
- …as to why claims are not paid and steps necessary for processing /payment. + Initiate collection phone calls to insurance companies to determine reason ... decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must...and monthly reports and work lists via calculating and processing transactions such as payer to payer transfers, contractual… 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 ... third-party payers to obtain payments, research, and resubmit rejected claims to primary payers, obtain and verify insurance...claims are not paid and steps necessary for processing /payment. - - Initiate collection phone calls to … more
- The Institute for Family Health (New Paltz, NY)
- … companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider credentialing ... with clearinghouse vendor and facilitates payer requirements as needed for electronic claims processing and retrieval of electronic remittance advices. + May… more
- Colgate-Palmolive (New York, NY)
- …their healthcare and group insurance benefits offerings, including plan provisions and claims processing + Support and serve as a subject-matter expert on ... and efficient service delivery + Resolve escalated health and insurance program claims and advocate for employees and retirees in benefits-related matters… 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 ... potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance ...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- Access: Supports For Living (Middletown, NY)
- …identified revenue cycle billing issues + Handling billing cycle review procedures for pre- processing (scrubbing) of weekly claims processing + Analyze, ... and timely claim batch creation, submission, and uploading of claims with providers and insurance companies, including...billing and processing program claims for accuracy and completeness; submit claims … more
- MetLife (New York, NY)
- …is one of the world's leading financial services companies; providing insurance , annuities, employee benefits and asset management to individual and institutional ... the Pet product within its Group Benefits business. Pet insurance is the fastest growing business within MetLife, with...aligned with business objectives and enterprise data strategy. * Claims automation: Given the exponential growth of the Pet… more
- University of Rochester (Albany, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims , identify problems, and take ... through telephone calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments to generate a… more
- Tompkins Community Bank (Batavia, NY)
- …with client and company to protect collection of same. + Assist the Tompkins Insurance claims personnel in and working with the processor in the reporting, ... maintaining small business accounts and relationships consistent with Tompkins Insurance strategies. To provide assistance to the CBU Team...to the CBU Team Leader in the handling and processing of new and renewal commercial business. Meet with… more
- Tompkins Community Bank (Batavia, NY)
- Overview This position aids the Commercial Lines (CL) Department in the handling and processing of new and renewal business, claims and special projects. It will ... accounts as directed. + Prepare binders, basic certificates, automobile insurance cards, account summaries, proposals, endorsements, lost policies releases, and… more