- Cardinal Health (Albany, NY)
- …data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that ... Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted...offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision… more
- City of New York (New York, NY)
- …payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their ... revenue collection for outstanding balances. Investigate and research unidentified claims /payments received to determine its appropriateness to deposit the payments.… more
- CVS Health (Albany, NY)
- …regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** ... are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or… more
- CVS Health (Albany, NY)
- …+ Performs a broad range tasks and assignments of operational/financial activities in support of revenue or claim information. + Performs general data gathering ... and analysis in support of assigned operational accounting discipline. + Balances and...inventory and business activity results to unit supervisor in support of unit's operating plan. + Applies understanding of… more
- Philadelphia Insurance Companies (New York, NY)
- …Marketing Statement: Tokio Marine North America Services (TMNAS) provides professional support services to Tokio Marine Group companies in the United States, ... and participating in various actuarial projects. Essential Job Functions: + Support TMHD actuarial governance procedures for insurance liabilities. This could… more
- City of New York (New York, NY)
- …and tools to support public health research and analysis to ensure claims submitted to the Grantors are accurate and timely. - Maintain research cost records ... of programs and services focused on food and nutrition, anti-tobacco support , chronic disease prevention, HIV/AIDS treatment, family and child health, environmental… more
- World Insurance Associates, LLC. (Syosset, NY)
- …multiple offices throughout the region. Position Overview + This position will provide support and manage employee benefits for clients, with a focus on: Medical, ... cases + Create monthly financial reporting packages including detailed premium, claims , membership, commission, and cash reconciliation information + Create weekly,… more
- CVS Health (Albany, NY)
- …Applies in-depth knowledge of configuration management tools and systems to support organizational operations. + Codes and/or writes custom configurations or ... and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live… more
- Trinity Health (Albany, NY)
- …reconciliation daily. + Report any outstanding claims to contact to ensure all claims are billed timely + Review each claim for appropriate information. + ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Medical Billing / Rev Cycle Analyst Analyst - Oncology Team- Albany, NY - FT** If you are… more
- City of New York (New York, NY)
- …insurance billing specialist, you will perform health insurance billing activities and support functions including claim review, claim submission, follow ... requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS,...employee benefits or health insurance as a manager, research analyst , or underwriter, or in public health education. One… more