- MetLife (Oriskany, NY)
- …. Identify and obtain missing information required to evaluate FEGLI life claims and input information into a Power Builder computer claim system computer ... system . Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. . Work with our customer administrative staff to clarify… more
- Callen-Lorde Community Health Center (New York, NY)
- MEDICAL BILLER AND CODER (CPC) Job Details Job Location Callen-Lorde Community Health Center - Manhattan - New York, NY Remote Type Hybrid Position Type Full Time ... the Role Callen-Lorde Community Health Center is seeking a detail-oriented and experienced Medical Biller & Coder to join our Patient Accounts team. This vital role… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... and CCI edits). + Anesthesiology Experience Preferred + Electronic claims processing preferred. **Responsibilities** + Follows up on submitted...Sinai Health System is one of the largest academic medical systems in the New York metro area, with… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...preferably in a healthcare setting such as revenue cycle, medical billing, or follow-up experience; **_or_** in lieu of… more
- Travelers Insurance Company (Melville, NY)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer ... such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of… more
- University of Rochester (Albany, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain ... limited to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Microsoft Word, Excel, Access,… more
- Pfizer (New York, NY)
- The Oncology Field Medical Outcomes, Director is a field-based medical colleague responsible for providing therapeutic area/product expertise for a designated ... through real-world data analyses, pharmacoeconomic analyses, outcomes evaluations, and medical presentations. The responsibilities of the role are to contribute… more
- GE Vernova (Schenectady, NY)
- …project execution and ensures that commercial risks and opportunities (notably claims , change orders, vendor and insurance recoveries) are identified early, tracked, ... as negotiation. **Job Description** + Implement risk mitigation strategies + Develop claims settlement agreements + Manage and drive Contract Change Order execution… more
- GE Vernova (Schenectady, NY)
- …Manager will be a commercial expert in preventing and mitigating high dollar value claims and risks. In this role, you will: + Research, develop and implement risk ... mitigation strategies + Research and author claims settlement agreements + Manage and drive Contract Change...130% of salary in certain areas. Healthcare benefits include medical , dental, vision, and prescription drug coverage; access to… more