- Highmark Health (Buffalo, NY)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- ThermoFisher Scientific (Rochester, NY)
- …and documentation. + Support material change risk assessments and verify product claims align with global industry standards (ISO 10993, USP, Pharm Eur, ICH ... weeks for bonding and 8 weeks for caregiver leave), accident and life insurance , and short- and long-term disability in accordance with company policy + Retirement… more
- City of New York (New York, NY)
- …Assistant Director of Patient Billing by working alongside a team of talented health insurance billing specialist , you will perform health insurance billing ... Job Description Summary Description: Bureau of Revenue focus on optimization of insurance billing and reimbursements for service provided to insured New Yorkers that… 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
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Insurance Fund, State Title Assistant Insurance Fund Services Representative (NY HELPS) Occupational Category Clerical, Secretarial, Office ... Case Manager in the NYS Segment. *Work-up and process Workers' Compensation claims .*Approve and deny medical bills.*Respond to claimant and provider inquiries via… more
- University of Rochester (Rochester, NY)
- …will make independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing ... payers to obtain payments, as well as contact payer representatives to research/resubmit rejected claims to obtain and verify insurance coverage. + Follow up on… more
- Allied Universal (Batavia, NY)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services ... flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use...$32 /** **hr** **RESPONSIBILITIES:** + Independently investigate suspected fraudulent insurance claims for a variety of coverage… more
- The Institute for Family Health (New Paltz, NY)
- …work for adherence to policies and procedures, to ensure the timely collections of insurance and patient due balances and that processing of denials are at optimal ... agencies, departments, and/or management + May assist with posting patient and insurance cash receipts, daily reconciliations, posting insurance denials, and… more
- MTA (New York, NY)
- …Company. + Responsible for handling All Agency Fiduciary, Fidelity, and agency property insurance claims ( Claims valued over $100 million are overseen ... Risk Management, Construction Risk Insurance Management, and Management Liability Insurance Specialist . + Familiarity with the MTA's policies and procedures.… more
- Cardinal Health (Albany, NY)
- …things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by… more