- Stony Brook University (East Setauket, NY)
- …Analyst may include the following, but are not limited to:** + Analyze claims and remittance data and present findings to departmental leadership. + Complete ... business processes and business systems configuration, including: Patient Billing, Claims Scrubber, Contract Management and Work Listing Software. + Interpret… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... 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
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims , Underwriting support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich approved Apprenticeship… more
- CDPHP (Albany, NY)
- …as Marketing, Enrollment, Pharmacy (internal and external), Provider Services, and Claims Operations to resolve member inquiries as defined within Member Services ... fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience with a documentation system… more
- New York State Civil Service (New York, NY)
- …previous loss experience and premium data.* Review/analyze experience rating data and claims material to price a policy.* Define, restrict, or qualify policy ... are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, Claims Service Representative 1,… more
- Elevance Health (Latham, NY)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Zurich NA (Albany, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Helen Keller National Center for Deaf Blind Youths… (Sands Point, NY)
- …Specialist is responsible for the accurate preparation, submission, and follow-up of claims for services funded by the Office for People with Developmental ... to Community Habilitation, Day Habilitation, and SEMP. * Verify that all claims meet Medicaid and OPWDD billing compliance standards. * Review service documentation… 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
- Maritime Administration (Kings Point, NY)
- …and services project cost estimates - Provides cost expertise on complex claims and assists in negotiations Reviews design and construction projects to develop ... Academy's cost engineering function Provides cost expertise on complex contractor claims and assists in negotiations Directs staff on procedures, requirements, and… more