- Molina Healthcare (Albany, NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... Associate degree or equivalent combination of education and experience ** Preferred Education** Bachelor's Degree or equivalent combination of education and… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate care ... employers and claimants in regard to claimants' workers' compensation cases. Provide claims processing for the Workers' Compensation and No-Fault lines of business.… more
- Fedcap (New York, NY)
- …provider, facility, place of service, medical service and coding are billed. + Submit claims to insurance companies on a daily basis. + Evaluate and ensure accuracy ... + Assist in managing A/R aging to include appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission, on a… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …appropriate objectives Up to 30% travel is required*, based upon business needs. Preferred + Prior experience with successfully launching a brand + Experience within ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Allied Universal (New York, NY)
- …This position is responsible for employee relations, employment compliance, unemployment claims , and monitoring of employment status for the employees of that ... terminations, and responses to the Department of Labor for unemployment claims . + Participation in employee retention and human capital management activities.… more
- Norstella (Albany, NY)
- …service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard ... by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data *Your… more
- Healthfirst (NY)
- …Experience in Healthcare/Health Plan customer service, operations, vendor management, or claims processing. + Previous work experience in an auditing function ... editing documents. + Experience with troubleshooting and process improvement. ** Preferred Qualifications** + Demonstrated experience or deep understanding of… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …teams. + Knowledge of compliance requirements related to pharmaceutical samples. ** Preferred :** + Pharmaceutical or healthcare industry experience. + Experience with ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Humana (Albany, NY)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- HUB International (New York, NY)
- …brokerage and client services (contract review and guidance, coordinating actuarial services, claims and loss prevention services as required. + Work with the ... a detailed renewal proposal. + Responsible for facilitating the claims process - working closely with internal claims...work experience. Completion of one or more CPCU exams preferred . + Valid NJ/ NY State Property & Casualty… more