- Excellus BlueCross BlueShield (Rochester, NY)
- …and communication with Insured, Insured's family, care providers, and monitoring of claim submission and processing. All work is directed under the terms and ... of services as is deemed necessary. + Evaluates submitted claims to determine if services billed and provided are...insurance contract. + Reviews the Insured's benefit file and claim payment to encourage timely submission and adjudication of… more
- Conifer Realty LLC (Rochester, NY)
- …leadership. + Support risk management and insurance teams by tracking claim resolution and settlement documentation. + Assist inside and outside counsel in ... Senior Corporate Paralegal will provide high-level legal, transactional, and corporate governance support to the Legal Department of a large affordable housing real… more
- WMCHealth (Kingston, NY)
- …+ Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected ... Biller Company: HealthAlliance Hospital City/State: Kingston, NY Category: Clerical/Administrative Support Department: Patient Accounting Union: No Position: Full Time… more
- WMCHealth (Kingston, NY)
- …+ Analyzes daily electronic billing reports for errors. Performs daily reconciliation of claim submission and receipt. Ensures that rejected claims are corrected ... Biller Company: HealthAlliance Hospital City/State: Kingston, NY Category: Clerical/Administrative Support Department: Patient Accounting Union: No Position: Full Time… more
- CVS Health (Albany, NY)
- … to members as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of ... any benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees… more
- AON (New York, NY)
- …and capabilities to be able to leverage carriers effectively. + Engage the Aon FSG claims and legal advocacy group for claim administration and counsel as per ... clients. In addition, and as a part of the support of the team: + Provide efficient and effective...to leverage carriers effectively. + Engage the Aon FSG claims and legal advocacy group for claim … more
- Humana (Albany, NY)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... support modeling, reporting, and decision-making. Requires strong project management...transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work… more
- Travelers Insurance Company (Melville, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... local expertise and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases from inception… more
- Robert Half Finance & Accounting (Roslyn Heights, NY)
- …within a healthcare setting. Your responsibilities will include managing insurance claims , addressing patient inquiries, and contributing to the overall success of ... the revenue cycle. Responsibilities: * Analyze and address denials and underpaid claims from insurance carriers based on contracted fee schedules. * Submit appeals… more
- FLACRA (Newark, NY)
- …and payment collection processes. This position is responsible for processing claims , managing accounts receivable, and ensuring timely and accurate payment ... school diploma / GED. Job Requirements: Key Responsibilities: + Process claims , including handling clearinghouse rejections and resubmissions. + Resolve claim… more