- MetLife (Oriskany, NY)
- …processed claims * Meet performance standards for financial accuracy, processing accuracy and claim timeliness * Respond to insured inquiries regarding specific ... to the assigned GCSO office * Analyze and process claims in a productive environment through our TLC claim...Appropriately interpret a variety of plan provisions and process claims accordingly, calculating claim payments and overpayments * Review… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …consistent payment methodologies and negotiates allowances for out of area/out of network non-par claims . In the course of this work, the Analyst will be required to ... + Differentiates claim types and navigates through the various claims platforms. + Uses pricing tools and efficiency in...are required. + Strength in spreadsheet, data base, word processing and Microsoft Office products. + Ability to present… more
- Evolent (Albany, NY)
- …and its customers in the Performance Suite where Evolent does not pay claims + Establish ideal data transfer protocols during client onboarding and implementation, ... resolve + Apply post-pay audit and payment integrity methods and techniques to ensure claims were paid according to policy + Coordinate with internal teams to ensure… more
- KeyBank (Albany, NY)
- …Regulation E and Regulation Z. The Fraud & Disputes Team focuses on resolving customer claims of fraud that relate to ACH, P2P and Bill Pay transactions and disputes ... the Lead Specialist is primarily focused on execution of complex processing , operational and/or administrative work following defined and sometimes undefined… more
- CenterLight Health System (NY)
- …This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding ... JOB RESPONSIBILITIES: + Responsible to deliver accurate and timely billing of insurance claims and patient statements for all Sites (12 sites around NYC) as well… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …datasets from IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary) + Strength in one or ... tools such as MicroStrategy, PowerBI, etc + Experience in processing , analyzing, and synthesizing various data sources (syndicated, specialty...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Ultimate Care Inc (Brooklyn, NY)
- …for managing the billing and collections process for Medicare/Medicaid Managed Care claims . You will work closely with our finance and operations teams to ... ensure accurate and timely submission of claims , follow up on outstanding balances, and resolve any...pay clients for home health services provided. + Payment Processing : Receive payments from private pay clients through various… more
- Citigroup (Getzville, NY)
- …& Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market ... in the timely investigation, and resolution of Interbank / Corporate Compensation Claims . The candidate will need to effectively interact with the front office,… more
- Cognizant (Albany, NY)
- …join our team. The ideal candidate will have mandatory technical skills in Facets - Claims and Facets with a preference for domain experience in Claims and ... and timely completion of tasks. + Provide technical expertise in Facets + Claims and Facets to support team members and resolve complex issues. + Collaborate… more
- Transdev (Hillburn, NY)
- …Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims ... tracking of safety reports. + Assist the Safety Manager in working with corporate claims staff to ensure that all liability and Workers' Compensation claims are… more