- Elevance Health (Latham, NY)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Rochester Regional Health (Rochester, NY)
- … billing, medical claims processing and accounts receivable collections. The Medical collection specialist must have the Ability to learn and understand ... factual arguments which will then be sent to the insurance carrier. The specialist will work across...medical billing protocol and reimbursement issues, work within Meditech… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 163081 FlexStaff Our client is seeking a skilled Medical Biller/Accounts Receivable Specialist with a minimum of 2 years of experience in ... medical billing, including filing claim appeals. The ideal candidate...telephone or online and appealing denied or incorrectly paid claims . Key Responsibilities: - Review insurance payments… more
- Gerber Collision & Glass (Albany, NY)
- …in person and over the phone. + Have a sense of urgency when filing insurance claims with and/or without customers on the line. + Maintain regular communication ... paid parental leave. + 6 paid holidays annually. + Medical , Prescription Drug, Dental & Vision Insurance ...+ Follow our step by step process to File Insurance claims , order OEM glass, and receive… more
- Molina Healthcare (Yonkers, NY)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina...programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service 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 ... necessary follow up activities which may include: + Initiating insurance billing + Explaining the balances shown on a...CMRT, Certified Medical Reimbursement Specialist CMRS); or an equivalent combination of education and… more
- Molina Healthcare (Buffalo, NY)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional ... administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists in coordinating… more
- Highmark Health (Albany, NY)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups… more
- NBC Universal (New York, NY)
- …need + This position is eligible for company sponsored benefits, including medical , dental and vision insurance , 401(k), paid leave, tuition reimbursement, ... and other intellectual property matters; negotiate and settle pre-litigation copyright claims + Respond to pre- and post-publication threats and challenges +… more
- WTW (New York, NY)
- …strategies to quantify, mitigate, and transfer risk, taking advantage of our specialist industry experience and unparalleled market know-how. The result is a new ... + Servicing policies once bound including issuing mid-term adjustments, assisting with claims and generally providing post-sales support + General advice and support… more