- GEICO (New York, NY)
- …Company, Great Culture, Great Rewards and Great Careers.**GEICO is looking to hire an Associate Counsel to defend lawsuits filed in New York courts and other first ... Rendering opinions on liability, damages, and value as requested by the Claims Department* Preparing and handling pleadings, motions, and discovery, to include… more
- Elevance Health (Latham, NY)
- Medical Coding Education Associate Sr (Hospital / Professional Claims ) **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, ... an accommodation is granted as required by law._ The **Medical Coding Education Associate S** r is responsible for the comprehensive analysis of complex claims… more
- Humana (Albany, NY)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Albany, NY)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …Billing Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial ... Requirements and Qualifications + High school diploma or equivalent required; associate degree or certification in medical billing/coding (eg, CMB,… more
- Highmark Health (Albany, NY)
- …Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification certificate + ... inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly… more
- University of Rochester (Rochester, NY)
- …which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to the processes ... necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in ... Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules,… more
- SUNY Morrisville (Syracuse, NY)
- …sessions, and curriculum updates as requested. Job Requirements: Minimum Qualifications + - Associate degree OR industry certification /licensure + - Two years of ... Teach core topics including: + Medical terminology and anatomy + Insurance claims processing + Coding systems (ICD-10-CM, CPT, HCPCS) + Electronic Health Records… more
- Westminster Management (New York, NY)
- …and risk information system(s). + Chartered Property Casualty Underwriter (CPCU) and/or Associate in Risk Management certification . Ready to join a company ... with various external partners including insurance brokers, carriers, underwriters, claims adjusters, attorneys and other service providers + Review insurance… more
