- New York State Civil Service (Buffalo, NY)
- …firefighting, volunteer ambulance workers, or paid family leave discrimination claims using a stenographic machine and computer-aided transcription, specifically ... volunteer firefighting, volunteer ambulance workers, discrimination, or disability benefits claims contemporaneously with the speaker reflecting a true and accurate… more
- City of New York (New York, NY)
- …medical records requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in ... perform health insurance billing activities and support functions including claim review, claim submission, follow up and...denials in a timely manner. - Prepare and batch claims out to third party payers for reimbursements. -… more
- Leviton (Melville, NY)
- …looking for a Deduction Representative I to join the Credit, Accounts Receivable & Claims department. We need individuals who thrive on challenges and are eager to ... I is responsible for evaluating, processing, and resolving customer claims (deductions), working together with customers and various internal departments.… more
- Sedgwick (Albany, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. +… more
- CDPHP (Latham, NY)
- …The Document Service Representative will work closely with Member Services, Provider Services, Claims Operations, and Medical Affairs to resolve claims ... the timely and accurate facilitation and handling of all incoming paper claim and correspondence documents. All tasks are performed on-site. This includes performing… more
- Access: Supports For Living (Middletown, NY)
- …revenue management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, ... billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing + Analyze, billing and processing program ...well as on a collaborative team. + Knowledge of Medical Insurance programs such as Medicaid, Medicare and Dual… more
- Ellis Medicine (Schenectady, NY)
- …in a hospital or healthcare setting preferred. + Must have knowledge of medical records, medical terminology and billing requirements, CPT, HCPCS and ICD-9 ... outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to...correction if there is a registration error or missing claim form. + Once all errors have been identified… more
- General Dynamics Information Technology (Menands, NY)
- …of regression testing methodology + REQUIRED TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience writing SQL ... Trust/Other Required:** None **Job Family:** Professional Engineering **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 +… more
- University of Rochester (Brighton, NY)
- …Prepares, processes, and reviews forms for compliance, accuracy, and completion including medical documentation. Determination of how to classify claims (WC- ... information to assist legal counsel + Produces reports, audits claim , evaluates eligibility and entitlements and considers multiple leave...medical only or loss time or if multiple claims how to address concurrent DBL and WC … more
- Catholic Health (Buffalo, NY)
- … claim reserving practices, Transitional Duty/Return to Work coordination, medical and vocational management, OSHA recordkeeping and compliance with the ... (IDM) position is responsible for monitoring and aggressively managing claims leaves, and absences associated with occupational and non-occupational injury… more