- Sedgwick (Albany, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Supervisor **PRIMARY PURPOSE:** To supervise the operation of multiple ... combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims … more
- Sedgwick (Albany, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** **:** To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Albany, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability (Medical Malpractice) **PRIMARY PURPOSE** : To ... analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Albany, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Carrington (Albany, NY)
- …eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but not limited to, claim ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- University of Rochester (Albany, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... productivity, and provider relationships across all departments. Additionally, the Assistant Coding Manager is responsible for ensuring proper training and supervision of assigned staff members, while implementing and upholding URMFG best practice standards.… more
- Travelers Insurance Company (Albany, NY)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- University of Rochester (Albany, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… more
- Intermountain Health (Albany, NY)
- …as needed on aging reports, reports all payor issues and/or denial trends to Lead/ Supervisor and may appeal and/or rebill underpaid claims and assist with ... **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains… more
- Ellis Medicine (Schenectady, NY)
- …Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider ... and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to...for data entry errors and make corrections. Notify the supervisor when a system error occurs. Log and forward… more
- Staffing Solutions Organization (Albany, NY)
- …resulting in cost savings and staff efficiencies. **Duties include:** + Review medical claims according to written procedures + Answer routine phone calls about ... claims review activities + Escalate issues & complex ...am to 4:30 pm unless otherwise specified by the supervisor , this includes a half hour unpaid lunch break.… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements:...Works closely with the Practice Leader and the RCA Supervisor to ensure that all updates and changes are… more
- Walgreens (West Sand Lake, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Albany Medical Center (Albany, NY)
- …new test methodologies and procedures. This individual may also serve as a qualified supervisor in the absence of the Laboratory Supervisor and Assistant ... improve processes and implement solutions. + Integrate customer needs, intended use claims and regulatory requirements in development and design goals for new… more
- New York State Civil Service (Albany, NY)
- …receive guidance in the planning and development stages of these duties from the supervisor ; if appointed as a Research Scientist 4 level, the incumbent is expected ... for these duties with only occasional reference to the supervisor . Minimum Qualifications Research Scientist 3, SG25:Non-Competitive Candidates: A bachelor's… more
- Trinity Health (Albany, NY)
- …routine patient data per protocols and/or as directed by the clinical supervisor . + Consistently recognizes high-risk situations and reports them appropriately. + ... Confers with the clinical supervisor routinely concerning the plan of care. + Makes...Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties… more
- Albany Leadership (Albany, NY)
- …laws. ? Process Annual FRPL forms and input into the system ? Monthly CN Claims processing ? Assist in ordering and prepping all School event meals ? Perform special ... assignments and other duties as assigned or required by the supervisor . Desired Skills: ? Ability to complete 10 hours of training annually as required by the USDA.… more
- Capital Region BOCES (Albany, NY)
- …sorts and distributes incoming mail. + Checks, codes and processes requisitions, claims and bills. + Prepares and maintains financial, statistical and personnel ... a basis for reports and memoranda and prepares summaries. + Transmits instructions from supervisor to staff and follows up to ensure deadlines are met. + Answers… more
- Trinity Health (Albany, NY)
- …ethical coding. Recognizes and reports opportunities for documentation improvement to the Supervisor of Risk Adjustment Coding & Audit to develop and implement ... ICD-10-CM codes for diagnoses assigned in the EHR by the providers to claims being submitted for their services. Using billing system work queues and natural… more
- Molina Healthcare (Albany, NY)
- …they arise, making an assessment when escalation to a Senior Representative, Supervisor , or another Molina department is needed. Takes initiative in preventing and ... SKILLS & ABILITIES** : * 3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare… more