- New York State Civil Service (Albany, NY)
- …functions or applications using programming languages to perform analyses using commercial claims data.* Develops and maintains reports on commercial health data and ... service delivery and assess network adequacy.* Conducts data analysis (including commercial claims and financial data) to inform the development of programs and… more
- Northwell Health (Lake Success, NY)
- …for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, assisting in helping ... an account. Job Responsibility + Assists in processing and managing patient claims . + Assists in collecting payments from third party insurance carriers and… more
- Centene Corporation (Queens, NY)
- …related to operational areas. + Oversee day-to-day operations including claims processing, provider network management, member services, utilization management, and ... Oversee implementation and optimization of health plan operations systems (eg, claims adjudication platforms, CRM tools). + Drive digital transformation initiatives… more
- Knowledge Builders Inc. (Albany, NY)
- …& Duties * Assist the office with tracking fiscal program applications, claims , and supporting documentation submitted by schools, reviewing them for completeness ... to office leadership for the approval/disapproval of fiscal program applications/ claims submitted for reimbursement payments, when applicable * Assist in… more
- Datrose (Albany, NY)
- …& Duties + Assist the office with tracking fiscal program applications, claims , and supporting documentation submitted by schools, reviewing them for completeness ... to office leadership for the approval/disapproval of fiscal program applications/ claims submitted for reimbursement payments, when applicable + Assist in… more
- Sedgwick (Albany, NY)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Health Advocates Network (Albany, NY)
- …& Duties * Assist the office with tracking fiscal program applications, claims , and supporting documentation submitted by schools, reviewing them for completeness ... to office leadership for the approval/disapproval of fiscal program applications/ claims submitted for reimbursement payments, when applicable * Assist in… more
- Catholic Health Services (Melville, NY)
- …and approves all primary and secondary billing, submits hard copy or electronic claims to appropriate payors. + Reviews and edits any rejections stemming from ... electronic billing submissions and corrects and resubmits claims , as required. + Verifies accuracy of patient insurance and demographic information. + Generates… more
- Molina Healthcare (Albany, NY)
- …vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Review of claims identified ... for overpayment recovery. **Job Qualifications** **REQUIRED QUALIFICATIONS:** + At least 1 year of administrative support experience, or equivalent combination of relevant education and experience. + Strong organizational and time management skills; ability to… more
- City of New York (New York, NY)
- …from DCAS, DOE, H+H, and non-City payroll entities into the MBF database. - Claims Processing: Review and process Health and Fitness claims in accordance with ... program guidelines. - Inquires Processing: Answer phone and email inquiries from active managerial employees and retired Management Benefit Fund members. COMMUNITY COORDINATOR - 56058 Qualifications 1. A baccalaureate degree from an accredited college and two… more