- Oak Orchard Health (Brockport, NY)
- …support of continuing education and professional development! + Company paid life Insurance ! + Generous PTO package that includes Vacation time, Sick time, Personal ... the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through… more
- New York State Civil Service (Endicott, NY)
- …Civil Service Law. Eligible titles include, but are not limited to: Administrative Specialist 1, Claims Service Representative 1, Claims Services ... NY HELP Yes Agency Insurance Fund, State Title Policyholder Services Representative 1/Trainee...meetings with policyholders to collaborate on systematic approach to claims mitigation.* In-depth analysis of type and cause of… more
- Elevance Health (Latham, NY)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST ... TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO...data from State Wage Reporting, Department of Corrections, Unemployment Insurance and Child Support Greater than Cash Assistance Grant… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , + facilitating the accuracy and completeness of the practice's codes and charges ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: + High School… more
- Gerber Collision & Glass (Albany, NY)
- …in person and over the phone. + Have a sense of urgency when filing insurance claims with and/or without customers on the line. + Maintain regular communication ... leader in the auto glass industry. As a Claim Specialist , you are a key member of Glass America's...+ Follow our step by step process to File Insurance claims , order OEM glass, and receive… more
- Highmark Health (Albany, NY)
- …work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means ... leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights… more
- Molina Healthcare (Albany, NY)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... with the Chief Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina and presents cases… more
- University of Rochester (Rochester, NY)
- …and work to complete necessary follow up activities which may include: + Initiating insurance billing + Explaining the balances shown on a patient statement and the ... to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +...$10,000 + Faith Based Reports + Budget Plans + Insurance billing **QUALIFICATIONS:** Associate's degree in Business Administration and… more
- Centene Corporation (Queens, NY)
- …Teams and / or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for to confirm accuracy and ... Clinical Quality Assurance RN will spend time in the field while reviewing Intake Specialist work and will actively coach and develop staff with real time training… more