- MVP Health Care (Rochester, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a Claims Examiner to join #TeamMVP. If you have a passion for medical ... claims and attention to detail this is the opportunity...York** **Qualifications you'll** **bring:** + High School Diploma required. Associate degree in health, Business or related field preferred… more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $38,937.60 - $50,618.88 Entry level hospital billing and claims position. Qualifications: High school diploma or GED is required. AAS degree ... Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, and have… more
- Albany Medical Center (Albany, NY)
- …preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, and ... have the ability to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials.Able to communicate effectively and successfully with team members, providers, contractors, payors, and their Leadership group daily.… more
- Humana (Albany, NY)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve… more
- Zurich NA (Albany, NY)
- …on insurance laws, industry developments, and best practices. + Mentor and support less experienced claims professionals, fostering technical growth and ... Senior Professional Liability Claims (Attorney), Claims Construction 128423 **Zurich...and standards to ensure consistency and quality outcomes. + Support profitable growth by sharing risk insights, trends, and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …role will require coming into the Rochester, NY office. The LTC Claims Administration Specialist performs timely and accurate data-entry and transactional processing ... in the claims administration system. The incumbent processes and adjudicates Long-Term...for employee development and promotional opportunities. All Levels * Associate degree. In lieu of a degree, three (3)… more
- MetLife (Oriskany, NY)
- …Ability to Partner with Internal/External Customers . High School Diploma Preferred: . Associate Degree . 2 plus years of claims management experience preferably ... financial accuracy * Drives Claim Management Accuracy and Customer Centricity through support of the Pre-QA Program, claim file reviews and call monitoring auditing… more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on ... in order to apply the proper decision rationale and provide evidentiary support to complete accurate written summaries. + Research incurred losses, using analytical… more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... elements in order to confirm the proper decision rationale and approve evidentiary support is included and written summaries are accurate. + Validate research on… more
- Carrington (Albany, NY)
- …losses in order to dispute financial impact + Review and procure additional support upon receipt of rebutted responses from external partners / investors + Analyze ... in order to apply the proper decision rationale and provide evidentiary support to complete accurate written summaries. + Research incurred losses, using analytical… more
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