- MetLife (Oriskany, NY)
- …life claims to identify claim situations requiring referral to Complex Case Manager Specialist or Claims Quality Specialist . . Maintain good rapport with ... and provide a response to the customer. . Process claims within payment authority up to $400,000....reports, homicide investigations, etc.) . Coach new Case Manager Specialist on FEGLI Life procedures and workflow. . Interpret… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain ... limited to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Microsoft Word, Excel, Access,… more
- The Institute for Family Health (New Paltz, NY)
- …companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider credentialing and ... Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be responsible for...of facility/group agreements with health plans and the supplemental payment process + Ability to export, analyze, and format… 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
- Oak Orchard Health (Brockport, NY)
- …the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through ... oversee process of appropriate billing. Oversight of accounts receivable, payment posting, reconciliations, reviewing patient statements, payment arrangements… 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
- City of New York (New York, NY)
- …ELIGIBLE FOR CONTINUED EMPLOYMENT. Under general direction of the EFT Transfer Specialist with wide latitude for independent judgment, the LMU Worker is responsible ... well as coordination with all program areas and FIA to troubleshoot payment processing issues, facilitate resolution as well as landlord communication and customer… more
- City of New York (New York, NY)
- Job Description YOU MUST BE PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST TITLE FOR AT LEAST ONE YEAR OR PERMANENT IN THE ABOS TITLE. THIS IS A ... PROVISIONAL APPOINTMENT, WHEN A TEST BECOMES AVAILABLE IN THE ADMINISTRATIVE JOB OPPORTUNITY SPECIALIST (ADMIN. JOS) TITLE, YOU MUST TAKE AND PASS THE EXAM TO REMAIN… more
- City of New York (New York, NY)
- …to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure accuracy ... working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and...denials in a timely manner. - Prepare and batch claims out to third party payers for reimbursements. -… more
- Elevance Health (Latham, NY)
- …preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more