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Newburgh, NY
... *Interprets plan benefit design, resolve claim, benefit, and enrollment issues while making a connection with member. *Acts as trusted advisor and educator on health care related issues and inquires. *Resolve customer questions via telephone and ...
- Jun 15
Wallkill, NY
... School COMPUTER SKILLS ● Intermediate level in computer applications ● MS Word, WordPerfect, Keyboarding (50wpm), also Insurance Claim ● Forms and EMR Clinical Works-eClinicalWorks and NEXTGEN CERTIFICATIONS ● Medical Billing and Coding-Diploma ● ...
- May 08
Newburgh, NY
... Report workers comp incidents reduce experience ratings by self- insuring minor injuring using good judgment to minimize exposure for future liability of claim. Respond to accidents involving customers and resolving the issues. Director of Human ...
- Apr 05
Walden, NY
... • Prepared appropriate claim documents and followed up with insurance companies to ensure that all claims came to fruition. Data Entry Representative Nice-Pak, Blauvelt, NY • Inputted data in an accurate and efficient manner. • Corroborated data ...
- Mar 18
Westtown, NY
... March 2022 - Present Resolved claim, benefit and enrollment issues. Communicate with customers by telephone or email to provide information about products or services, as well as assisting with billing, coordination of benefits and claim inquiries. ...
- Mar 03
Middletown, NY, 10940
... • Read EOB's for explanation of claims paying amounts and denials, followed up on claim denials and suspended claims. • Resubmitted claims to NYS Medicaid that have either denied or pended in claims system. Answer multi- line phone system, directing ...
- Feb 07
Middletown, NY
... billing department functions: charge entry, payment posting and reimbursement management • Patient Financial Services Reimbursement Analyst 9/2016-current Maintain accurate and timely claim submissions for designated groups of accounts by payer. ...
- Jan 04
Wallkill, NY
... Diagnostic Codes Medical Policy Insurance Processing and Systems Computer Course 1 & 2 at Port Ewing Boces, NY PROFESSIONAL PROFILE A thorough and detail oriented professional with experience in the medical insurance and claim processing industry. ...
- 2023 Dec 22
Newburgh, NY
... Claims Adjuster 01/2015 to 12/2019 MetroPlus Health Plan for Health and Hospital Corp • Respond to all claim inquiries from provider sites personnel including physicians, clinical staff, and site administrators. • Act as a key liaison and service ...
- 2023 Dec 20
New Paltz, NY, 12561
... Blochachek (Medical Director of Highmark Medicare) for claim resolutions and quality improvement reducing the DSO. (See Attached) 6: Through data analytics, created presentations (decks) for various levels of staff for targeted quality improvement ...
- 2023 Apr 03