- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... to improve a complex business process. RESPONSIBILITIES: + Review and accurately process claim edits in a system work queue. Accurately handle claim adjustments… more
- ConvaTec (Massapequa, NY)
- …requires some explanation or interpretation. **Key Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid, commercial and private ... prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance… more
- Independent Health (Buffalo, NY)
- …related phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. ... interpret basic COB information as it relates to Independent Health's obligation for claim payment and follow New York State Rules & Regulations, NAIC Guidelines,… more
- Catholic Health (Buffalo, NY)
- …Flexible between 7am - 5pm Summary: The position will support the clients and Medical Practices of HCSWNY, and responsibilities will include, but are not limited to, ... denials on a timely basis + Review of all claims for accuracy + Review and identify errors or...timely filing guidelines to ensure proper receipt of the claim by the insurance company or State/Federal agency, including:… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **ESSENTIAL...problem and initiatives corrective action through reviews of electronic medical records. + Works to confer with external agencies.… more
- FlexStaff (Chappaqua, NY)
- … Biller/Accounts Receivable Specialist with a minimum of 2 years of experience in medical billing, including filing claim appeals. The ideal candidate will have ... THE OFFICE 3 DAYS A WEEK- YOU MUST RESIDE LOCALLY* The candidate MUST HAVE Medical Billing & AR Experience- Experience in Medicare Part B and in Network Managed… more
- Helen Keller National Center for Deaf Blind Youths… (Sands Point, NY)
- …standards. * Review service documentation to ensure accuracy and completeness prior to claim submission. * Track claims , address denials or rejections, and ... opportunities available to join the HKNC team as a Medical Billing Specialist. The Medical Billing Specialist...responsible for the accurate preparation, submission, and follow-up of claims for services funded by the Office for People… more
- Robert Half Finance & Accounting (New York, NY)
- … claims to ensure effective resolution and settlement. + Monitors claim -handling performance, supervising the Claims Manager to ensure efficient operations. ... service agreements with brokers, presenting recommendations for approval to the HSO. Claims and Administrative Oversight + Works alongside Finance and Legal teams to… more
- CDM Smith (Albany, NY)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- University of Rochester (Rochester, NY)
- …assigned. Qualifications: - Required: Associates Degree and 4-5 years of professional medical claims billing and collecting experience; or equivalent combination ... paper claims with appropriate attachments when needed (insurance EOB, medical records, etc.). Ensures additional documentation and/or information is provided for… more