- World Insurance Associates, LLC. (Geneva, NY)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries + Coordinate expiration list with department manager… more
- CVS Health (Albany, NY)
- …+ Working knowledge of problem solving and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School ... measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost… more
- WMCHealth (Warwick, NY)
- …based on the Follow-Up Department guidelines. Prepares and posts any necessary adjustments and claim changes on accounts though the system based on the follow up to ... and contractual amounts on remittances received from payers, and includes denied claims to ensure that patients are billed appropriately. Requests refunds or… more
- Ducommun (Coxsackie, NY)
- …including assisting with general benefit inquiries and online enrollment, claims resolution, collection of required documents, invoicing and payroll adjustments, ... worker's compensation process related to medical treatment, cost control and claim adjustor communication. + Proactively support safety concerns and issues through… more
- Hannaford (Glenville, NY)
- …forms after prescriptions are dispensed. * Prepare and complete manual insurance claim forms. * Maintain organized filing system for invoices, manual insurance ... claims , daily reports, etc. in accordance with Standard Practice...and audio capability to process prescriptions and service customers. PREFERRED REQUIREMENTS * Support and work with pharmacist to… more
- UHS (Johnson City, NY)
- …patients with financial resources and payment options. + Research insurance claim denials for outpatient encounters, review denial codes to identify causes, ... update records accordingly, and support efforts to reprocess claims for payment. + Maintain current knowledge of insurance payers relevant to outpatient services,… more
- CVS Health (Albany, NY)
- …advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer ... needs by answering unasked questions. + Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.… more
- CVS Health (Albany, NY)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies,… more
- M&T Bank (Getzville, NY)
- …check requests, demand letters, appraisal orders and bankruptcy proof of claims . + Research, gather, prepare and validate appropriate documentation associated with ... obtaining required documentation and providing ongoing research support throughout the claim process. + Research the remediation cases as required for BSA/AML;… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with MTM, Corporate Service strategy, NCQA, ... First Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other complex… more