- CVS Health (Albany, NY)
- …and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all ... identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working… more
- Cardinal Health (Albany, NY)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
- Trinity Health (East Greenbush, NY)
- …reconciliation daily. + Report any outstanding claims to contact to ensure all claims are billed timely + Review each claim for appropriate information. + ... a medical practice. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical… more
- Molina Healthcare (Buffalo, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in defect resolution… more
- Sedgwick (Buffalo, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Allied Universal (Saratoga Springs, NY)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Molina Healthcare (NY)
- …operations, health plan representatives, and other business teams involved in claim processing. Maintains expertise in all forms of reimbursement methodologies ... release notes to accurately request and analyze impact reports of affected claims . + Analyzes, interprets, and maintains configurable tables and files that support… more
- WellLife Network (NY)
- …accuracy and appropriateness of billing codes (CPT, ICD-10, and HCPCS) prior to claim submission. 3. Analyze denied or underpaid claims , identify root causes, ... of the billing and accounts receivable cycle, including charge entry, claim submission, and follow-up on outstanding balances. **Essential Functions:** 1. Prepare… more
- ConvaTec (Massapequa, NY)
- …requires some explanation or interpretation. **Key Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid, commercial and private ... prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance… more
- Lithia & Driveway (Albany, NY)
- …the Warranty Administrator prepares, submits, and tracks warranty repair orders and claims . The Warranty Administrator is responsible for the accuracy and timeliness ... manager that is set by the manufacturer's guidelines and rules for claim documentation + Supports the service departments by obtaining any missing documentation… more
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