- MetLife (Oriskany, NY)
- …analyze and render appropriate claim decisions on STD, PML and state claims . Clarify functional capacity through independent problem-solving measures and discretion ... (gathering medical , vocational, and other information, efficient use of resources, and action planning) sufficient to determine initial and ongoing liability. .… more
- Catholic Health (Buffalo, NY)
- …up action based on a payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or escalation to ensure payment. A ... related tasks or operation of a computer + Specialized experience such as medical claim billing, long term care and/or infusion pharmacy billing preferred KNOWLEDGE,… more
- University of Rochester (Rochester, NY)
- …or certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician ... as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues...CMRT, Certified Medical Reimbursement Specialist CMRS); or an equivalent combination of education and… more
- University of Rochester (Rochester, NY)
- …or Certification obtained from a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician ... as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...CMRT, Certified Medical Reimbursement Specialist CMRS); or an equivalent combination of education and… more
- Ellis Medicine (Schenectady, NY)
- This position can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical ... and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… 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
- The Institute for Family Health (New Paltz, NY)
- …years of medical billing experience required + Proficiency in EPIC claims processing workflows preferred + Ability to run and interpret/analyze Crystal and EPIC ... and that processing of denials are at optimal levels + Ensure daily/weekly/monthly medical claim submission. Resolve claim and remittance file issues as needed. +… more
- Allied Universal (Batavia, NY)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
- CDM Smith (Albany, NY)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Sr Medical Receptionist - Albany - FT/DAYS** If you are looking for an administrative position ... of clerical duties related to the efficient and service-oriented operation of a medical practice. The Senior Registration Associate will perform all job functions in… more