- OLV Human Services (Lackawanna, NY)
- …+ Ensure the timely and accurate preparation and submission of billing claims and anticipated payments. + Regular communication with payers (insurance companies, ... of monthly revenue, utilization, and accounts receivable reports. + Processing of billing claims as necessary. + Updating of rate and procedure codes as necessary. +… more
- AON (Plainview, NY)
- …accounting package. + Prepare premium and profit-sharing remittances and carrier claims salvage payments including Subledger Ledger reconciliation. + Ensure timely ... accounting package. + Prepare premium and profit-sharing remittances and carrier claims salvage payments including Subledger Ledger reconciliation. + Ensure timely… more
- Guidehouse (New York, NY)
- …client business problems, which include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care data, and EMR data. + ... forecast models/ financial models. + Ability to work with large data sets such as claims data. + Excellent attention to detail and ability to review work products of… more
- Robert Half Finance & Accounting (Albany, NY)
- …Responsibilities: * Oversee existing insurance policies to ensure audits, reports, and claims are managed in compliance with New York State regulations. * Assist ... policyholders by addressing claims , providing educational materials, verifying coverage, and delivering proof of insurance. * Identify and pursue new business… more
- Axis (New York, NY)
- …Casualty book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes ... assessing the impact of these on the account's profile and emerging claims experience. + Maintain the feedback loop of information and analyses between… more
- Amentum (Albany, NY)
- …appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with ... defense sectors.** + Deep knowledge of insurance products, risk financing, claims management, and enterprise risk practices. + Strong negotiation, communication, and… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …proceedings. + Support the Risk Manager in tracking insurance-covered litigation matters. File claims with insurance companies for claims and lawsuits as needed. ... + Draft advocacy letters and responses to administrative complaints. + Legal research and writing. + Perform other related duties as assigned. COMPETENCIES + Excellent business writing skills (professional writing sample will be required). Previous legal… more
- Robert Half Finance & Accounting (Albany, NY)
- …programs, products, and services. * Process applications and documentation for new claims or policy transfers, ensuring timely submissions. * Manage new and transfer ... * Experience in processing and managing Workers' Compensation applications and claims . * Proficiency in database management and record-keeping systems. * Excellent… more
- Humana (Albany, NY)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access, PowerPoint) + Working knowledge of SQL + Familiarity with EDI X12 formats… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... **Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and… more