- MVP Health Care (Rochester, NY)
- …our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims /Operations** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** **Hiring Max ... To achieve this, we're looking for an **Associate, Integrated Care** to join #TeamMVP. If you have a passion for collaboration, patient-centered care, and system improvement this is the opportunity for you. **What's in it for you:** + Growth opportunities to… more
- Paychex (Rochester, NY)
- …multiple Paychex products. Ensures good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with ... Paychex policies and procedures. Proactively educates and informs clients, and initiates improvements based on client feedback. Has in-depth knowledge of at least one Paychex product. Solves complex problems; takes a new perspective on existing solutions. Acts… more
- Elevance Health (Latham, NY)
- …of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... policies and procedures. **Minimum Requirements:** + Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted… more
- Humana (Albany, NY)
- …working within the healthcare field + Previous experience with medical claims + Project management experience **Additional Information** This role is considered ... "remote/work at home" and can be based anywhere in the United States. **Work at Home Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet… more
- Molina Healthcare (Yonkers, NY)
- …services, pharmacies, and health plan providers in resolving member prescription claims , prior authorizations, and pharmacy service access issues. * Articulates ... pharmacy management policies and procedures to pharmacy/health plan providers, Molina staff and others as needed. Required Qualifications * At least 2 years pharmacy technician experience, or equivalent combination of relevant education and experience. *… more
- Elevance Health (Latham, NY)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... inpatient admission, outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data entry of referral requests into the UM system in… more
- Fordham University (Bronx, NY)
- …operational elements of the University's insurance programs, including renewals, claims intake, certificates of insurance, and policy documentation. Reviews ... contracts for appropriate insurance requirements and risk considerations, coordinating with Legal or Procurement as needed. Provides analytical support to budget and forecast activities on an as-needed basis to ensure alignment between treasury, insurance,… more
- Elevance Health (Latham, NY)
- …reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. Assists with development of utilization/care management policies ... and procedures. **Minimum Requirements:** + Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current unrestricted RN license… more
- Elderwood (Liverpool, NY)
- …work expectations. Unemployment & Workers Compensation28. Ensure timely response to claims for unemployment insurance. Verify that all termination data isreported to ... payroll within one pay period of termination date.29. Represent the company in UI and WC hearings when necessary.30. Participate in facility Safety Committee.31. Compile and submit information for unemployment, Worker's Compensation, and disabilityclaims;… more
- JPMorgan Chase (New York, NY)
- …+ Maintain complex and detailed calendars + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are processed ... within provided guidelines + Assist with staff on-boarding and off-boarding, which includes requesting equipment setup and system access + Produce high quality emails and messages to individuals at all levels of the organization + Provide coverage for other… more