- SUNY Upstate Medical University (Syracuse, NY)
- …Quality assurance and training, resolving ED Missing Reg Items work queues and claim edit errors, Assists with audits & analysis of denials. Assists with development ... equivalent combination of education and experience required. Working knowledge of medical terminology, medical billing/insurance requirements, familiarity with … more
- Trinity Health (Syracuse, NY)
- …processes and audits, and clinical billing. Strong understanding of various medical claim formats. Knowledge of clinical documentation improvement processes ... are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State and Private payer regulations.… more
- Trinity Health (Syracuse, NY)
- …processes and audits, and clinical billing. Strong understanding of various medical claim formats.Knowledge of clinical documentation improvement processes ... are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State and Private payer… more
- Cognizant (Albany, NY)
- …Determine if the appeal or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims ... **Appeals & Grievance Specialist (remote)** This is a remote position open...maintain a high level of integrity and confidentiality of medical information Knowledge of data entry and transcription **Salary… more
- Elevance Health (Latham, NY)
- Network Data Specialist IA proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior ... is granted as required by law. The **Network Data Specialist I** is responsible for accurate and timely maintenance...for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an… more
- Robert Half Finance & Accounting (New York, NY)
- Description We are looking for an experienced Compensation & Benefits Specialist to join our client's team in New York, New York. This person requires having ... industry, as well as familiarity with compliance reporting and workers' compensation claims . The ideal candidate will possess strong technical skills and the ability… more
- Racker (Ithaca, NY)
- …to process and administer all leave-of-absence requests and disability paperwork: medical , personal, disability, PFL and FMLA. Generates reports to track utilization ... data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends...data, including PPACA oversight. + Assists employees regarding benefits claim issues and plan changes. + Assists with distributing… more
- Syracuse Community Health Center (Syracuse, NY)
- POSITION SUMMARY: The denials management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health ... experience with Epic's billing modules and reporting tools, advanced training in Medical Billing or Coding, including CPC certification required or an equivalent… more
- WMCHealth (Hawthorne, NY)
- Denials Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Business Office Union: ... Internal Applicant link Job Details: Job Summary: The Denials Specialist is responsible for providing analysis and reporting for all… more
- CDM Smith (Albany, NY)
- …ID:** 40506BR **Business Unit:** FSU **Job Description:** The FEMA Architectural Specialist : * Conducts site inspections to validate and record infrastructure ... and engineering reports, designs, and as-built plans. Makes recommendations regarding claim eligibility. * Develops or evaluates hazard mitigation proposals and… more