- 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
- 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 ... of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for working across the… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- Cardinal Health (Albany, NY)
- …of ensuring that all policies and procedures related to providing consistent, supervisor customer/patient care are adhered to, and service & production goals are ... appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… 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 ... system on a daily basis, and ensuring outgoing data is accurate. + Review and resolve outstanding accounts receivable with insurance companies and patients. + … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... Education Department, Office of Professional Discipline and/or internal referral for quality review by the applicable business area. + Acts as primary point of… more
- Robert Half Accountemps (Rochester, NY)
- …by effectively and accurately managing receivables. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve ... ways to improve a complex business process. Key Responsibilities: Review and accurately process claim edits in a system...policies and/or phone calls to the payer. Submit corrected claims and appeals. Process account adjustments and refunds as… more
- Ellis Medicine (Niskayuna, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , facilitating the accuracy and completeness of the practice's codes and charges ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… more
- MTA (New York, NY)
- …Control SALARY RANGE: $133,519 - $166,899 HAY POINTS: 994 DEPT/DIV: Finance SUPERVISOR : Deputy Chief, Risk and Insurance Management LOCATION: 2 Broadway, New York, ... and counseling. Responsible for discipline/termination of employees when necessary. Review performance of staff. Create a professional environment that respects… more
- New York State Civil Service (Brooklyn, NY)
- …managers/contractors and/or management of material testing and inspection consultants, review of daily field reporting, and coordination with internal quality ... participate in mechanical, electrical, and structural quality assurance field inspections.* Review bid advertisements, prepare bid summaries, review bidder… more