Claims Processing Jobs in New York State
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Search Results - Claims Processing Jobs in New York State
MVP Health Care-Schenectady
Medicare Claims Processing, Professional, CASE Analyst
Headquarters Office, 625 State Street, Schenectady, New York, United States of America • Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America Req #2130
Wednesday...
1 similar job: Rochester
MetroPlusHealth-New York
to determine accuracy and/or mitigate payment errors.
The Claims Adjustment Specialist I is responsible for adjusting medical claims that result in over/underpayments due to claim processing system issues, contract/amendment updates, processing errors, or other...
mindmatch.ai -
Guidehealth-Yonkers
excellent customer service
Answering client and provider questions including, but not limited to claims payment, status and coverage information
Interpreting client health plan protocol
Backup to the claims processing area by assisting with reports...
resume-library.com -
MetroPlusHealth-New York
group, post-acute bundles, etc.,) Conducts audits to review accuracy of cost reports and payment of claims Reviews inquiries from providers regarding cost report settlements Researches and analyzes claim processing outcomes, identifies issues and reports...
MetroPlusHealth-New York
group, post-acute bundles, etc.,)
• Conducts audits to review accuracy of cost reports and payment of claims
• Reviews inquiries from providers regarding cost report settlements
• Researches and analyzes claim processing outcomes, identifies issues...
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Athari-New York
coding, ICD-9/ICD-10 coding principles and practices.
• Ability to research authoritative citations related to coding, compliance, and additional reporting requirements.
• Demonstrates overall knowledge of claims processing for various insurance both...
resume-library.com -
MetroPlusHealth-New York
group, post-acute bundles, etc.,)
• Conducts audits to review accuracy of cost reports and payment of claims
• Reviews inquiries from providers regarding cost report settlements
• Researches and analyzes claim processing outcomes, identifies issues...
mindmatch.ai -
MetroPlusHealth-New York
Develop and implement provider appeal workflows and processes. Develop and enhance reporting capabilities. Keep abreast with regulatory requirements as it impacts claims processing. Responsible for internal and external audits for all lines of business...
MVP Consulting-Albany
packages, views, and triggers for implementing WCB IAIABC monthly/quarterly statutory changes
Develop Oracle stored procedures, packages, views, and triggers for storing and processing WCB Payor Compliance Penalty into NYSIF MedPay and Claims Batch Systems...
resume-library.com -
MetroPlusHealth-New York
Develop and implement provider appeal workflows and processes. Develop and enhance reporting capabilities. Keep abreast with regulatory requirements as it impacts claims processing. Responsible for internal and external audits for all lines of business...
MetroPlusHealth-New York
with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing.
Job Description
• Oversee development and implementation of short/long term business...
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MVP Health Care-Rochester
customers in every interaction
Your key responsibilities:
• Inbound/Outbound Phones
• Processing member reimbursement claims
• Processing debit card substantiation
• Problem solving member issues
• Multi-tasking between phones and resources...
1 similar job: Schenectady
Tandym Group-New York
as reducing claim adjustment requests
• Work with the Office of Corporate Compliance, Claims Department, and regulatory entities to facilitate processing of regulatory requests, and escalating performance issues to Claims Department management
• Work in...
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MVP Health Care-Rochester
communication skills.
• Knowledge of pharmacy claims processing and pharmacy benefit designs
• Knowledge of medical claims processing and medical benefit designs
• Excellent analytical skills required.
• Superior attention to detail and strong project management...
1 similar job: Tarrytown
Black Systems LLC-Albany
Windows environment, including experience in branching, Merging, and check-in/check-out.
• 60 months experience with HP Quality Center
• 84 months experience with Workers Compensation Claims Processing
60 months experience with Innotas...
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