- AIG (New York, NY)
- …to reinsurance matters. + Overseeing and managing reinsurance disputes and claims issues. Education/Experience: + Juris Doctor required; US state bar admission. ... + Minimum of 6+ years of legal experience with a law firm and/or in-house counsel. + Experience with (re)insurance matters and (re)insurance-related corporate transactions preferred. + Ability to manage multiple projects and assignments in a fast paced… more
- Walmart (Elmsford, NY)
- …appropriately merchandising and completing required documentation Tracks and processes claims by returning damaged goods handling liquidation merchandise maintaining ... and cleaning the clearance area and utilizing technology to capture required reporting and documentation Maintains safety of facility by following all safety standards procedures and guidelines conducting safety sweeps following proper forklift spotting… more
- Highmark Health (Albany, NY)
- …or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 - 1 year in the Health ... Insurance Industry **LICENSES AND CERTIFICATION** **Required** + None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills + Business Analysis + Business Process Design + Business Process Improvement +… more
- B&H Photo (New York, NY)
- …to customer inquiries such as stock check, order status check, price check, claims , returns etc. within defined time frames. + Proactively follows up with customers ... regarding outstanding orders both pre and post-sale as assigned. + Communicates with our customers in a professional and courteous manner. + Actively builds relationships with customers and demonstrates by actions that the customer can count on us. + Resolves… more
- Northwell Health (Great Neck, NY)
- …records on prescriptions and inventory, and prepares labels + Processes insurance claims and provide detailed prescription receipts + Resolves problems related to ... prescription inquiries + Responsible for implementing inventory control procedures and ordering merchandise within regulatory guidelines + Responsible for resolution of third party rejects and responding to high volume customer inquiries + Documents customer… more
- Albany Medical Center (Albany, NY)
- …education or equivalent + 1-2 years of experience in medical billing or medical claims processing + Working knowledge in Excel and Word + Ability to work ... independently + Excellent Phone etiquette + Excellent written and oral communication skills + Close attention to detail and organizational skills + Represent the office/Institution in a positive manner + Can marshal resources to complete tasks and orchestrate… more
- MetLife (Oriskany, NY)
- …performing claim adjudication with the focus on Decisional, Financial, Claims Coding and Compliance Accuracy in accordance with the Customers' plan/policy and ... service proven through internal and external interactions. * Drives Claim Management Accuracy and customer experience through support of...Associate Degree * 2 plus years of hands-on claims management experience preferably * 5 plus years of… more
- Highmark Health (Albany, NY)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... claim rejection and the proper action to complete the...effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of… more
- Guidehouse (New York, NY)
- …of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. ... include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific...Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review… more
- Access: Supports For Living (Middletown, NY)
- …revenue management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, ... issues + Handling billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing + Analyze, billing and processing program claims for… more