- Molina Healthcare (Yonkers, NY)
- …Medicare experience **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing /resolution, including ... for reviewing and resolving member and provider complaints, appeals, and claim disputes, and communicating resolution to members, providers, or authorized… more
- Sedgwick (Albany, NY)
- …to apply critical thinking under pressure + Knowledge of the insurance industry and claims processing + Knowledge of field case management + Excellent oral and ... Field Case Manager assignment and facilitates initial onsite hospital visit for the claim . + Maintains communication with the customer, Client Service Director, and … more
- Rochester Regional Health (Rochester, NY)
- …follow up. + Contact third party payers on a timely basis to obtain claim processing status and clarification regarding un-responded or partially responded ... The Billing and Reimbursement Specialist is responsible for timely processing of medical claims for DRUGSCAN. RESPONSIBILITIES...process and increase customer satisfaction. + Mail out HCFA claim forms daily. + Respond to any requests from… more
- City of New York (New York, NY)
- …staff involved in the processing of cases to determine if Food Stamp claims should be initiated. Coordinate and maintain control of the activities of the Special ... responsible specialized administrative work supervising the functions of the City-wide Claims Units and/or supervising the functions of the City-wide Special… more
- M&T Bank (Getzville, NY)
- …execute day to day functions including filing and monitoring the insurance claim process for damaged properties, registration and deregistration of properties that ... might occur in the near future. + Respond to FHA demands, including BCDE Claims , and all other claims besides principal. Provide additional documentation as… more
- University of Buffalo - Campus, Dining (Buffalo, NY)
- …to the processing of disability, FMLA, PFL and workers' compensation claims , leave requests, and ADA accommodations. . Assists with administration of the ... FSA employee handbooks. workers compensation benefits, and safety programs and unemployment claims . This role reports directly to the Benefits and Leave Manager and… more
- Mount Sinai Health System (New York, NY)
- …claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing claims , maintaining related files and logs, and checking ... in solving payment and other business office issues. 2. Monitors processing of claims for reimbursement and ensures all necessary documentation and attachment… more
- WMCHealth (Valhalla, NY)
- …diploma and four years of clerical experience, one year of which included the processing of patients' medical insurance claims as the primary function of the ... year. There is no substitution for the one year of specialized experience processing patients' medical insurance claims . *Special Note: Education beyond the… more
- Robert Half Accountemps (Rochester, NY)
- …* Assist with claim administration, including resolving billing discrepancies and processing claims . * Respond to inbound calls from clients to address ... and collection processes. * Ability to handle billing functions and claim administration efficiently. * Exceptional communication skills for answering inbound calls… more
- City of New York (New York, NY)
- …Area Supervisor, who will: - Directly and indirectly supervise staff in Claims processing /establishment of claims /recovery of manual payments/Program ... support. Track and ensure productivity of processing case actions in claims , establishment and imaging or recovery units. - Develop, complete. reviewing and… more