- Molina Healthcare (Buffalo, NY)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... candidates are a fit for team in terms of business need and company objectives. Able to take appropriate personnel actions when required + Models appropriate… more
- CBRE Government and Defense Services (Fort Johnson, NY)
- …programs at assigned facility in accordance with legal mandates and Company directives to ensure compliance with contractual requirements and customer expectations. ... appropriate corrective action + Maintains incident logs for accurate tracking of claims ; compiles statistics and prepares trend reports, exposure records and other… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and Federal Mandates. + May be responsible for pricing, coding, researching claims to ensure accurate application of contract benefits and Corporate Medical ... live in and serve, and strongly encourage all qualified individuals to apply. OUR COMPANY CULTURE: Employees are united by our Lifetime Way Values & Behaviors that… more
- MetLife (New York, NY)
- …product knowledge and possess knowledge of plan designs, benefit features and how claims are paid. * Proactive customer focused mindset with strong focus on customer ... skills and ability to work in multiple systems simultaneously (Microsoft suite, different company platforms) * High School diploma * Must already hold or be able… more
- CDM Smith (Woodbury, NY)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Independent Health (Buffalo, NY)
- …handling self-funded pharmacy calls or working for a health insurance company or physician's office interacting with pharmacies; OR pharmacy tech certification ... and Windows experience required, including typing skills. + Familiarity with on-line claim systems preferred. + Demonstration of math aptitude for purposes of… more
- Ducommun (Coxsackie, NY)
- …related activities. Internal Communication and Collaboration: + Support and promote company core values of honesty, professionalism, respect, trust and teamwork and ... positive relationships among management and employees. + Partners with HR manager and/or management team on strategic initiatives. + Collaborates and provides… more
- Travelers Insurance Company (Melville, NY)
- …Range** $59,200.00 - $97,700.00 **Target Openings** 1 **What Is the Opportunity?** Claim Employees will be given priority consideration for this UPDP Class. Under ... through their interaction with agents/brokers and via coaching from their manager . Negotiation: + Develops negotiation skills through their interaction with… more
- Robert Half Accountemps (Syracuse, NY)
- …billing processes for Home Health Care services, ensuring accuracy in claims submission and payment processing. Candidates should possess a strong background ... in accounts receivable management and electronic claims systems, coupled with exceptional analytical and problem-solving skills. Responsibilities: * Review and… more
- Highmark Health (Albany, NY)
- ** Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more