- Sedgwick (Albany, NY)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- WMCHealth (Kingston, NY)
- …Applicant link Job Details: Coordinates the orderly processing of all third party claims in accordance with the policies and procedures of the nursing home and ... accurate cash receipt and Ancillary Services posting to the Accounts Receivable system.Submits claims for third party insurance payers. Handles self pay billing in a… more
- Gerber Collision & Glass (Albany, NY)
- …and over the phone. + Have a sense of urgency when filing insurance claims with and/or without customers on the line. + Maintain regular communication with all ... records as needed. + Follow our step by step process to File Insurance claims , order OEM glass, and receive necessary approvals from Insurance companies. + When… more
- MTA (Bronx, NY)
- …and at reducing collisions and minimizing expenses related to litigation and claims . Execute the development and implementation of an enhanced de-escalation training ... and collision avoidance features, to improve employee availability and reduce IOD claims . Serve as co-chair of the DOB Assault Committee which is developing… more
- Nestle (New York, NY)
- …as well as all applicable external regulatory requirements. + Initiates WC Claims to insurance provider. + Ensure all locations have preferred HCP locations. ... + Follow up on Claims as required. + Partners with Human Resources and Management on Modified Duty review. + Follow up with employee as needed. + Work with NUSA SHE… more
- Finger Lakes Health (Geneva, NY)
- …Pay Range $19.35 - $22.47 Job Description Responsible for accurate and timely submission of claims to third party payers and follow up of billed claims for
- Molina Healthcare (Yonkers, NY)
- …responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of ... and benefit realization + Demonstrates deep understanding of Core Operations, Claims and Enrollment processes, deliverables, vendor partners and technology platforms… more
- Ankura (Lexington, NY)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... Food, Drug, and Cosmetics Act; FDA regulations; The Federal False Claims Act and Anti-Kickback statute; CMS and Veteran's Administration regulations regarding… more
- Humana (Albany, NY)
- …MAAA + 2+ years of actuarial experience in health insurance and/or medical claims analytics + Proficiency in data analysis and one or more statistical programming ... Qualifications** + Strong communication skills + Strong working knowledge of healthcare claims as it relates to trend analytics, total cost of care management,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …compliance with current healthcare regulations and payer requirements. + Prepare and submit claims to insurance companies, following up on unpaid or denied claims ... . + Collaborate with healthcare providers to clarify diagnoses and obtain additional information. + Maintain patient confidentiality and adhere to HIPAA guidelines. + Hybrid work available: 1-2 work days from home and 3-4 work days in office Minimum… more