- Rochester Regional Health (Rochester, NY)
- …organization by identifying trends in denials and taking corrective actions. RESPONSIBILITIES: + Medical Billing & Claims Management: Submit and track insurance ... Patient Financial Services Hours: 37.5 SCHEDULE: Monday-Friday 8AM-4PM SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing… more
- Allied Universal (Rome, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental/unit ... programs and evaluations, scheduling and timesheets. + Analyzes and identifies claim payment issues, patterns, and root cause; tracks and pursues un-timely,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and communication with Insured, Insured's family, care providers, and monitoring of claim submission and processing. All work is directed under the terms and ... the Company. + Evaluates Insured's condition through review of field assessments, medical records, etc. Determines benefit eligibility based on the criteria outlined… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Candidate will be responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating ... to billing, insurance, and payments. Minimum Qualifications: 2-3 years Medical Billing Experience- Radiology preferred Follow -up skills Insurance knowledge… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient accounts, ... School degree or equivalent and two years clerical support in a medical billing setting. Will consider equivalent combination of education and experience. Preferred… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, ... Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical ...and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. +… more
- Lithia & Driveway (Albany, NY)
- …the Warranty Administrator prepares, submits, and tracks warranty repair orders and claims . The Warranty Administrator is responsible for the accuracy and timeliness ... manager that is set by the manufacturer's guidelines and rules for claim documentation + Supports the service departments by obtaining any missing documentation… more
- USAA (New York, NY)
- …Investigation Unit (SIU) referrals, when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- Sedgwick (Albany, NY)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more