- Maimonides Medical Center (New York, NY)
- …Degree 2‑5+ years of medical office experience, preferably in a hospital/ medical setting essential. Proficiency in word processing , spreadsheet and database ... Planetree's philosophy of patient-centered care. The system is anchored by Maimonides Medical Center, one of the nation's largest independent teaching hospitals and … more
- Sedgwick (Albany, NY)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- New York State Civil Service (White Plains, NY)
- …include, but are not limited to:* Oversee all aspects of workers compensation claims processing from inception to closing* Initially determine the compensability ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90) -...status* Respond to requests for home modifications, home health care personnel, medication, and medical … more
- Sedgwick (Rochester, NY)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... LOCATION** **Marlton, NJ - Hybrid (3 days work from home )** **Open to remote for candidates outside of commutable...to office** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to… more
- New York State Civil Service (New York, NY)
- …Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative Trainee 1 (NY HELPS) Occupational...status; respond to requests for home modifications, home health care personnel, medication, and medical … more
- Humana (Albany, NY)
- …based on business needs. **Preferred Qualifications** + Bachelor's Degree + Prior claims processing experience + Overpayment experience + Financial recovery ... a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve customer… 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
- Robert Half Accountemps (Rochester, NY)
- …and authorization details. Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate. Contact ... reimbursement is received for clinical services rendered including detail oriented, long-term/ home care and hospital care, by effectively and accurately managing… more
- Rochester Regional Health (Rochester, NY)
- …and authorization details. + Respond to patient complaints by researching coverage and claim processing to ensure the patient responsibility is accurate. Contact ... is received by RRH for clinical services rendered including professional, long-term/ home care and hospital care, by effectively and accurately managing a… more
- CenterWell (Albany, NY)
- …knowledge in Microsoft Access or experience with SQL Server databases + Previous experience processing medical claims + Bilingual (English and Spanish); with ... Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all… more
