- 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
- Helen Keller National Center for Deaf Blind Youths… (Sands Point, NY)
- …ONE part time career opportunities available to join the HKNC team as a Medical Billing Specialist. The Medical Billing Specialist is responsible for the ... accurate preparation, submission, and follow-up of claims for services funded by the Office for People... meet Medicaid and OPWDD billing compliance standards. * Review service documentation to ensure accuracy and completeness prior… more
- Travelers Insurance Company (Melville, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage or liability… more
- University of Rochester (Albany, NY)
- …as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- New York State Civil Service (Buffalo, NY)
- …set by the Verbatim Reporter Unit manager and Verbatim Reporter Services Supervisor .* Maintain confidentiality of all information regarding claims .* Comply with ... Code 14203 Duties Description Under the direction of the Verbatim Reporter Services Supervisor SG-25 or Verbatim Reporter 2 SG-19 the position will transcribe audio… more
- SUNY Upstate Medical University (Syracuse, NY)
- …work queue. Serves as a resource to patients, staff, and medical providers for prior authorizations. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under general ... Assists clinics and patients with understanding prior authorizations and their medical (and possibly the pharmacy) benefits as required. Educates patients and… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- Residence Counselor Medical Coordinator Type of Position Full time Search Location(s) Brooklyn, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6883) Job Brief Assists in obtaining medical care for assigned individuals and maintains appropriate documentation… more
- ConvaTec (Massapequa, NY)
- …some explanation or interpretation. **Key Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance ... prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance… more
- Ellis Medicine (Schenectady, NY)
- …system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. EDUCATION ... in a hospital or healthcare setting preferred. + Must have knowledge of medical records, medical terminology and billing requirements, CPT, HCPCS and ICD-9… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review / Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators ... and document any concerns, complaints and/or issues with direct supervisor . + Demonstrates a kind, caring, sympathetic and positive... claims a plus. + Strong skills in medical record review . + Familiarity with … more