- Rochester Regional Health (Rochester, NY)
- …- 5:00 PM SUMMARY The Billing and Reimbursement Specialist is responsible for timely processing of medical claims for DRUGSCAN. RESPONSIBILITIES + Process ... third party payers on a timely basis to obtain claim processing status and clarification regarding un-responded... status and clarification regarding un-responded or partially responded claims . + Analyze and report trends based on data… more
- CVS Health (Albany, NY)
- …experience with complaints and/or Center for Medicare and Medicaid Services (CMS) + Medical /RX claim processing knowledge + Bachelors Degree **Education:** ... queue of Medicare complaints. These complaints can include various issues ranging from claims that are adjudicated incorrectly to rude customer service. You will be… more
- University of Rochester (Rochester, NY)
- …as to why claims are not paid and steps necessary for processing /payment. - - Initiate collection phone calls to insurance companies to determine reason for ... claim denial or reason for unpaid claim . Address unpaid claims , and solicit a...and monthly reports and work lists via calculating and processing transactions such as payer to payer transfers, contractual… more
- The Institute for Family Health (New Paltz, NY)
- …3 years of medical billing experience required + Proficiency in EPIC claims processing workflows preferred + Ability to run and interpret/analyze Crystal and ... of denials are at optimal levels + Ensure daily/weekly/monthly medical claim submission. Resolve claim ... professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating… more
- Humana (Albany, NY)
- …skills to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...analyzing and researching medical claims + Proficient in Microsoft Office… more
- University of Rochester (Albany, NY)
- …requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up ... calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments...for review and resolution. + 5% Collaborates with Claim Edit Specialists and Patient Medical Billing… more
- GE Vernova (Schenectady, NY)
- …terms and internal policies. + Lead and support continuous improvement initiatives to enhance claim processing efficiency and reduce costs. + Act as the primary ... **Job Description** **Roles and Responsibilities** + Manage and track warranty claims from initiation through resolution, ensuring timely processing and… more
- Humana (Albany, NY)
- …a specified time frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** **This is a ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Independent Health (Buffalo, NY)
- …Experience in navigating multiple systems while interacting with a customer and/or processing claims . + Assume responsibility and adhere to departmental ... Innovation + Retain technical knowledge of Independent Health's customer documentation and claims processing systems to review and maintain member records, as… more
- Citigroup (Getzville, NY)
- …and product processor systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim is paid /settled; ... & Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market… more