- Healthfirst (NY)
- …to all aspects of member/provider questions and issues such as eligibility, benefits, claims process, escalations, and product questions, etc. May include but is not ... measures and/or recommends solutions and methods for process improvement and follow -up on outstanding customer inquiries and complaints within defined timeframe. +… more
- Rochester Regional Health (Rochester, NY)
- …+ Assess health and safety program needs and recommend policies and procedures. Follow up with leaders on all events which involved patient handling with regard ... knowledge of ergonomics; and a basic knowledge of workers' compensation claims management. + Ability to work independently without constant direction and… more
- Conifer Realty LLC (Rochester, NY)
- …Management and Legal departments to review status of liability and property damage claims . + Review and manage the financials of the portfolio which includes ... completed and submitted in a timely manner, ensuring appropriate follow -up to achieve the expected results. + Ensure that...15 days paid time off, 401K with company match, medical , HSA, dependent care Flex account, dental, vision; company-paid… more
- CRC Insurance Services, Inc. (New York, NY)
- …information from agents and underwriters. 11. Maintain suspense system and follow -up for receipt of policies, endorsements, inspections reports, correspondence, ... claims , etc. from outside sources. 12. Process binders, invoices,...coverage and support. Eligible full-time teammates enjoy access to medical , dental, vision, life, disability, and AD&D insurance; tax-advantaged… more
- Parsons Corporation (New York, NY)
- …and SEP teams to develop negotiation strategies and** **coordinate responses to claims and change requests.** **Review and support the approval process for ... their overall wellbeing, which is why we offer best-in-class benefits such as medical , dental, vision, paid time off, Employee Stock Ownership Plan (ESOP), 401(k),… more
- Walmart (Utica, NY)
- …are aligned with company and regulatory standards for prescriptions and claims doctor and optician certificationslicensure and associate training Guides associates ... execution Actively communicates trains and guides the processes for completion and follow up on compliance initiatives to associates within Health and Wellness and… more
- Arnot Health (Elmira, NY)
- …department staff 5. Relays denial information to appropriate billing clerks and management. 6. Follow up on denial claims using reports to ensure completion of ... discourage preventable denials DUTIES AND RESPONSIBILITIES: 1. Retrospectively determines medical necessity and appropriateness of admission and stay in accordance… more
- Saratoga Hospital (Saratoga Springs, NY)
- …provides clerical support to the various roles within the Denial and Follow -Up team. This position is responsible for facilitating assigned tasks that support ... Financial Services department. What You'll Do + Handle and resolve assigned denied claims in multiple work queues including, but not limited to, eligibility and… more
- Trinity Health (Albany, NY)
- …standing and walking. **WORK CONTACT GROUP:** All services, employees, medical staff, patients, visitors, vendors, various regulatory and professional agencies. ... Works with leadership to develop risk mitigation plans associated with litigated claims . Ensures that patient care-related incidents are reported to Trinity System… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …documentation if warranted. POSITION RESPONSIBILITIES: + Reviews persons receiving services' medical record; verify MD's order and physical therapy assessment prior ... persons receiving services, families and/or direct care staff in specified follow through programs. + Communicates effectively with discharge planning from… more
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