- 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 claims ... May transfer secondary balances to appropriate financial class and provides documentation for processing the claims . 6. Reviews Credit Letter Sent (CLS) and… 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 ... and Vision product within its Group Benefits business. Dental insurance is one of the largest product lines at...* Date science in Dental: Contributions to underwriting models, claims auto-adjudication logic and models, fraud waste and abuse… more
- Tompkins Community Bank (Batavia, NY)
- Overview To consistently exceed the expectations of our Personal Insurance customers by performing a variety of duties to meet their insurance service needs. ... + Process all in-coming and out-going mail + Review Insurance company communications daily + Review account renewals and...for account transactions + Provide assistance to customers reporting claims + Review and maintain current ImageRight "To Do… more
- Mount Sinai Health System (New York, NY)
- …Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the...in IDX billing systems in a health care or insurance environment, and strong familiarity with ICD/CPT coding +… more
- Cardinal Health (Albany, NY)
- …to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, ... and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle… more
- Rochester Regional Health (Rochester, NY)
- … Claims and Appeals Processing : Submits and follows up on insurance claims ; resolves denials and rejections; prepares appeal letters with proper ... actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health),… more
- Leviton (Melville, NY)
- …recording and application of all customer cash receipts and the posting of claims and chargebacks. This role will evaluate, process, and resolve customer deductions ... Collaborate with outside sales, logistics, warehouse, and customers to resolve claims effectively. Process chargebacks and pursue recovery for invalid deductions.… more
- Oak Orchard Health (Brockport, NY)
- …cycle operations and liaison with the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, ... support of continuing education and professional development! + Company paid life Insurance ! + Generous PTO package that includes Vacation time, Sick time, Personal… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …field working in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law ... Medicaid, CPT, HCPCS, ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems, claims flow, adjudication process, system edits… more
- Independent Health (Buffalo, NY)
- …Reliance Rx Operations & Compliance department. + Experience working with online claims processing system preferred. + Effective oral and written communication ... primarily responsible for completing the billing of both pharmacy and medical claims and adjudicating rejections. **Signing Bonus:** This position will be granted a… more