- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit...paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus… more
- University of Rochester (Albany, NY)
- …to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… 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 ... at all times. **Location** + Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. + Occasional onsite meetings / work at… more
- University of Rochester (Rochester, NY)
- …to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve ... unpaid claims . Mentors and trains new or lower-level staff. **LOCATION**...**LOCATION** + Rochester Tech Park (RTP), Gates, NY + Remote options available after in-person training. + Occasional onsite… more
- Healthfirst (NY)
- **This position is 100% Remote .** **Scope of Responsibilities:** + **Conduct moderately complex to complex quality audits of provider claims , pre-payments and ... to ensure the quality of the network.** + **Review and investigate claims and encounters for medical, facility, pharmacy, dental and vision services including… more
- Public Consulting Group (Albany, NY)
- …through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Cardinal Health (Albany, NY)
- ** Remote Hours: Monday - Friday, 7:00 AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
- Trinity Health (East Greenbush, NY)
- …is located at 2 Empite Drive East Greenbush, NY, and has the opportunity to work remote 1 day a week. . This Revenue Cycle Analyst is needed for the medical group. ... a medical practice. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the...Cycle Manager. *Please note that this is NOT a remote opportunity, and will be onsite. **Qualifications** + Associates… more
- Zurich NA (New York, NY)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Portal for resume submission. Location(s): AM - New York Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more