- Guardian Life (New York, NY)
- …revenue goals. + Act as liaison to Sales, Network, Provider Contracting, Underwriting, Claims and Operations . + Ensure that procedures and systems are updated ... partnership with provider contracting, legal, compliance, underwriting, network, and claims . Additionally, this individual will help identify, prioritize, and design… more
- UHS (Binghamton, NY)
- …this role, you will investigate, analyze, and resolve denied insurance claims -ensuring timely reimbursement and supporting the financial integrity of our ... collaborate with payers, providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join a team where your work strengthens not… more
- Robert Half Accountemps (Garden City, NY)
- …to ensure compliance with payer requirements. * Investigate and address claim denials, identifying root causes and implementing corrective actions. * Conduct ... Collaborate with healthcare providers and insurance companies to streamline billing operations . * Maintain accurate records and documentation to ensure compliance… more
- Kelly Services (New York, NY)
- …critical in identifying benefit plan issues and work as the liaison between the Operations Team and the Client to assure the benefit program is administered as ... statistics contained in the reporting packet. + Maintain knowledge of ongoing claim issues with funding reinsurance, etc.; proactively identify services issues and… more
- Robert Half Accountemps (Rochester, NY)
- …with claim administration, including resolving billing discrepancies and processing claims . * Respond to inbound calls from clients to address payment-related ... and proficiency in financial systems to support the company's service operations . Responsibilities: * Monitor and manage accounts receivable balances to ensure… more
- Hannaford (South Glens Falls, NY)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms if needed. * Maintain organized filing system for invoices, manual ... insurance claims , daily reports, etc.. in accordance with Standard Practice...Desire and ability to learn all aspects of pharmacy operations including involvement with management, MPP, scheduling, and other… more
- Centene Corporation (East Syracuse, NY)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations . Project ... to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic… more
- City of New York (New York, NY)
- Job Description The Office of Fiscal Operations is HRA's primary payments and accounting office, and the core responsibilities are carried out through the operation ... for data entry into multiple database systems for agency claims submitted annually for Federal and State reimbursement. -...Agencies, Program areas and Vendors of status of relevant claim and payment schedules during the fiscal year. -… more
- UNUM (Albany, NY)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits… more
- City of New York (New York, NY)
- …Provide presentations/ demonstrations of the Automated Supplemental Nutritional Assistance Program Claims system (ASCS) and/or general program operations to both ... cases. It was enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims for the… more