- Excellus BlueCross BlueShield (Rochester, NY)
- …field working in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law ... case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care,… more
- CVS Health (Albany, NY)
- …data and data analytics reporting and dashboards **Preferred Qualifications** + Self Funded Insurance experience + Medical Claims processing knowledge + ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- University of Rochester (Rochester, NY)
- …will make independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing ... as well as contact payer representatives to research/resubmit rejected claims to obtain and verify insurance coverage.... refund credits. + Review and advise supervisor or manager of trends on incorrectly paid claims … more
- City of New York (New York, NY)
- …health, and two years of full-time satisfactory experience in employee benefits or health insurance as a manager , research analyst, or underwriter, or in public ... Job Description Summary Description: Bureau of Revenue focus on optimization of insurance billing and reimbursements for service provided to insured New Yorkers that… more
- New York State Civil Service (Albany, NY)
- …Albany State NY Zip Code 12206 Duties Description * Manage the day-to-day duties as a medical only Case Manager in the NYS Segment.* Work up and process Workers' ... NY HELP Yes Agency Insurance Fund, State Title Assistant Insurance Fund...Compensation claims .* Approve and deny medical bills.* Respond to… more
- Ellis Medicine (Niskayuna, NY)
- …share program + Employee Wellness Program + Employee Assistance Program + Employer paid Life Insurance WHAT WILL I DO AS A MEDICAL CODER? Basic Function: The ... MEDICINE? + Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE! + Generous paid time...revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes, but is not limited… more
- Ellis Medicine (Schenectady, NY)
- The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not ... and related work lists to ensure complete, timely and accurate submission of claims , + facilitating the accuracy and completeness of the practice's codes and charges… more
- Mount Sinai Health System (New York, NY)
- …will be onsite. **Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims , with experience in IDX billing systems ... Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with… more
- CenterWell (Albany, NY)
- …help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care ... an in-depth evaluation of variable factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work… more
- University of Rochester (Albany, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. + Research claims , identify problems, and take ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more