- Northwell Health (Melville, NY)
- …to various government sites. + Manages work queue, aging lists, reports, and claims correspondence to assure accurate and timely payment of accounts. + Verifies ... scrubbing system. + Other related duties as assigned. Job Qualification + Associate 's Degree required, or equivalent combination of education and related experience.… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** The Associate Director, Global Product Quality - Biologics is responsible for directing quality oversight of clinical and commercial products at CMOs ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Walmart (Plattsburgh, NY)
- …are aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides ... your chance to be part of it. A Walmart Associate Optometrist is the clinical partner to the Vision...reputation in the community. Serves as a credible spokesperson, representative , and sponsor of the company to the public… more
- B&H Photo (New York, NY)
- …Make your move to B&H today! Job Overview: The Enterprise Accounts Support Representative is a key position responsible for ensuring that our enterprise customers in ... to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers… more
- University of Rochester (Albany, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for working ... payer specific appeal process taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative III reports to Accounts… more
- New York State Civil Service (Rochester, NY)
- …include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, Claims Service ... Representative 1, Claims Services Representative 1 (Disability Benefits); OR* Six years of experience*...Workers' Compensation or Disability Benefits including Paid Family Leave claims .*An associate degree may substitute for two… more
- University of Rochester (Rochester, NY)
- …Payer Website link (EPIC Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not paid. + Determines steps ... independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain… more
- Uniland Development Company (Amherst, NY)
- …responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and litigation ... pertaining to Uniland's business activities. + Facilitates administration of insurance claims , including builder's risk, liability, and property insurance and other… more
- 32BJ Benefit Funds (New York, NY)
- …their dependents. The team focuses on leveraging over 10 years of medical claims data, provider data and pricing data (internal and external) to inform improvements ... other modern data architecture patterns + Prior exposure in the healthcare claims data industry preferred Soft Skills (Interpersonal Skills): + Outstanding verbal… more
- Highmark Health (Albany, NY)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more