- University of Rochester (Rochester, NY)
- …as to why claims are not paid and steps necessary for processing /payment. - - Initiate collection phone calls to insurance companies to determine reason for ... 7:30 AM-4 PM Responsibilities Location Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at… more
- University of Rochester (Albany, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . Collaborate with appropriate departments to generate a ... place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United...rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... 70% Auditing and Corrective Action + Evaluates charge capture, claims scrubbing and sliding fee discount practices to ensure...with Payers to identify and resolve claim billing and processing issues + Works collaboratively within Revenue Cycle and… more
- New York State Civil Service (Schenectady, NY)
- …Compensation Discrimination, World Trade Center Volunteer and World Trade Center employee claims for Proposed Decision or Hearing* Processing calendar returns* ... Processing incoming mail and work requests within Claims Information System (CIS) Minimum Qualifications This title is part of the New York Hiring for Emergency… more
- CDPHP (Albany, NY)
- …+ Demonstrated ability to determine, analyze and solve problems related to benefits, claims processing , claims and benefit appeals/complaints, enrollment and ... call center preferred. + A background in health insurance claims and appeals processing is preferred. +...to 8 pm Monday - Friday. This is a remote position - great opportunity to work from home!… more
- Canon USA & Affiliates (Albany, NY)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... protocol development, data acquisition, phantom studies, equipment evaluations, post processing , and development of presentations. + Provide evidence-based guidance… more
- Humana (Albany, NY)
- …Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience ... **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company...Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of… more
- Baylor Scott & White Health (Albany, NY)
- …issues. + Knowledge and expertise of medical benefit policies and plan designs, claims hospital and medical processing , and adjudication with data skills. + ... may vary based on position type and/or level **Job Summary** **100% Remote position** The Benefit Configuration Analyst examines configuration change requests. They… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …policy and travel is expected 20% of the time based on business needs. Remote options may be considered within the US. As an **Associate Director, Quantitative ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Callen-Lorde Community Health Center (New York, NY)
- …patient service charges in EPIC, preparing and submitting electronic and paper claims , processing payments from third-party payers and patients, and managing ... Community Health Center - Manhattan - New York, NY Remote Type Hybrid Position Type Full Time Education Level...sequencing and modifiers, reviewing and validating coding for denied claims , and serving as a coding resource for the… more