- Sedgwick (Albany, NY)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (Albany, NY)
- …of education and experience required to include two (2) years of claims supervisor experience. **SUPERVISORY RESPONSIBILITIES** + Performs other duties as ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- OLV Human Services (Lackawanna, NY)
- Join Our Mission. Lead with Purpose. Make a Difference. Billing & Accounts Receivable Supervisor - OLV Human Services As OLV Human Services continues to grow, so ... We are currently seeking a Billing & Accounts Receivable Supervisor who is not only a strategic thinker and...the timely and accurate preparation and submission of billing claims and anticipated payments. + Regular communication with payers… more
- University of Rochester (Albany, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... on team functions and underlying processes, demonstrating comprehensive knowledge of medical terminology and coding guidelines relevant to the assigned functional… more
- City of New York (New York, NY)
- …avoid insurance policy cancellation, interview, review , and process reimbursement claims for related Medicaid reimbursement out-of-pocket medical expense and ... PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Medical Assistance Program (MAP) administers public health insurance programs, including… more
- Constructive Partnerships Unlimited (Queens, NY)
- Day Shift Supervisor Type of Position Full time Search Location(s) Queens, NY Apply Now ... for evening shift when necessary in conjunction with Deployment Supervisor (s). + 6. Ensures that all day shift fire...are adequate and maintained weekly. + 10. Completes a review of all financial ledgers at least weekly to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Assesses staff and unit training needs and reports this information to the supervisor . + Collaborates with other key departments ( Claims , Customer Service, ... to the Health Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. +...employee development and promotional opportunities. All Levels + LPN, Medical Assistant, Health Plan customer service or claims… more
- University of Rochester (Rochester, NY)
- …Documents all account follow up activity. + Research and calculate under or overpaid claims ; determine final resolution + Review and determine correct follow up. ... + Adjust account or process insurance refund credits. + Review and advise supervisor or manager of...supervisor or manager of trends on incorrectly paid claims from specific payers. + Work with supervisor… more
- University of Rochester (Rochester, NY)
- … claims through final resolution and adjudication, including refund of credits - - Review and advise supervisor or manager on trends of incorrectly paid ... claims from specific payers - - Work with supervisor /manager on communication to payer representatives regarding payment trends...obtain correct full reimbursement - Billing primary and secondary claims to insurance - Review paper … more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected ... party billing and collection agencies. + Identify issues and patterns with claims /insurance companies and review to increase revenue and prevent unnecessary… more