- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working across the ... all open account receivables to successful closure. Responsible for effective claims follow-up to obtain maximum revenue collection. Responsibilities include but are… more
- AON (New York, NY)
- …fashion to cross-sell Cyber Solutions products and services + Effectively utilize the claims and legal advocacy group for claim administration and counsel to ... Insurance Team works with Sponsors to structure, manage and support Cyber Insurance Portfolio Programs, M&A and claims...Cyber Solutions products and services + Effectively utilize the claims and legal advocacy group for claim … more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with ... is required. **Job Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which… more
- MetLife (Oriskany, NY)
- …form with customer service proven through internal and external interactions. * Drives Claim Management Accuracy and customer experience through support of the ... performing claim adjudication with the focus on Decisional, Financial, Claims Coding and Compliance Accuracy in accordance with the Customers' plan/policy and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization Management, Behavioral ... and related health plan functions such as member services, claims , and the referral process. As well as functions...and membership system, intranet and related links to provide support to the division. + Serves as the primary… more
- The Estee Lauder Companies (Melville, NY)
- …Product Development/Marketing, Consumer Insights and Legal teams to drive innovation and ensure claim validity and fit. + Help support Brand Liaisons during new ... and BALMAIN Beauty. We are seeking a highly collaborative Associate Scientist/Engineer to support our liaison team between our Research & Development (R&D) teams and… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating ... agencies to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate… more
- CDPHP (Latham, NY)
- …the timely and accurate facilitation and handling of all incoming paper claim and correspondence documents. All tasks are performed on-site. This includes performing ... a detailed mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with all New York State… more
- GE Vernova (Schenectady, NY)
- …and other EPC claims + Research, pursue, negotiate and obtain insurance claim recoveries + Drive Supplier recovery working in conjunction with Sourcing + Ensure ... is ready. The Contract Manager will lead Contract Management support in the execution of complex equipment and extended...commercial expert in preventing and mitigating high dollar value claims and risks. In this role, you will: +… more
- Access: Supports For Living (Middletown, NY)
- …revenue management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, ... issues + Handling billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing + Analyze, billing and processing program claims for… more