- Mohawk Valley Health System (Utica, NY)
- …and infusion pharmacy services. Reporting to the Pharmacy 340B Business Manager , this role is responsible for identifying, analyzing, and resolving revenue ... the enterprise. Core Job Responsibilities + Investigates, tracks, and resolves drug-related claim denials and billing exceptions across multiple sites of care. +… more
- Helio Health Inc. (Syracuse, NY)
- …has not done so. + Consistent follow up with all insurance companies to work claim denials. + Prepares weekly and monthly reports of Medicaid billing for the ... Manager of Revenue Cycle Management and Medical Records. +...as assigned. Qualifications + High School Degree /GED required, Associate 's degree preferred. + Excellent verbal and written communication… more
- Molina Healthcare (Buffalo, NY)
- …to Molina Medicare's maximum STAR ratings. **Job Qualifications** **Required Education** Associate 's Degree or 4 years of Medicare grievance and appeals experience. ... **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/resolution, including 2 years in a manager… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... Acts as a resource to staff members. + Provides back-up for Supervisor/ Manager , whenever necessary. Minimum Qualifications: NOTE: We include multiple levels of… more
- Zurich NA (New York, NY)
- …will be filled at either the level I or Level II and the hiring manager will determine the appropriate level based upon the selected applicant's experience and skill ... and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience… more
- Zurich NA (New York, NY)
- …hiring talent on a fully-remote basis based on discretion of the hiring manager . This role will be responsible for various aspects of Construction Professional ... filled at either AVP OR VP level. The hiring manager will determine the appropriate level based upon the...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Zurich NA (Albany, NY)
- …role will be filled at either theMid-Senior or Senior Level. The hiring manager will determine the appropriate level based upon the selected applicant's experience ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience… more
- Touro University (Valhalla, NY)
- …Finance: + Under supervision of CDA, serve as an expert budget manager , utilizing Banner Self-Service (SSB) and Tableau to oversee and reconcile departmental ... orders, retrofit orders (check requests), blanket orders, and employee expense claim reimbursements. Additionally, manage the processing of honoraria payments to… more
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: Under general supervision of the Manager , Health Information Services, the Denials Specialist performs activities to ensure appropriate ... accounts to determine appropriate appeal/response to the denial notification to resolve claim . + Tracks denied and overturned accounts, compiling routine and ad hoc… more
- Project Renewal, Inc. (New York, NY)
- …with latitude for independent action, the Assistant Director coordinates with the Building Manager and the Director of Social Services to ensure that the day-to-day ... in compiling information and documentation needed to defend a claim submitted by either a client and/or staff member...in a managerial or supervisory capacity; preferred. + An Associate 's degree in the aforementioned fields with four (4)… more