- Molina Healthcare (Yonkers, NY)
- …Medicare experience **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing /resolution, including ... Medicare standards and requirements related to member and provider dispute/appeals processing . *Requires state level knowledge and experience of Integrated Dual… more
- New York State Civil Service (Latham, NY)
- …such as interns, and/or directly perform the more difficult or complicated clerical processing and office support work for which substantive knowledge of the program ... appointments, meetings, and travel using various office tools.* Perform routine processing activities, including checking forms for completeness and accuracy.* Type,… more
- Canon USA & Affiliates (Albany, NY)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... protocol development, data acquisition, phantom studies, equipment evaluations, post processing , and development of presentations. + Provide evidence-based guidance… more
- M&T Bank (Getzville, NY)
- …might occur in the near future. + Respond to FHA demands, including BCDE Claims , and all other claims besides principal. Provide additional documentation as ... in cases where HUD denied an over-allowable request. + Liaise with Accounting, Claims and Foreclosure groups. + Complete insurance claims for damaged properties… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …any time with or without notice. Primary Responsibilities + Thorough review of claims and medical documentation. + Prepare cases for clinical review. + Resolve and ... expedition of customer requests. + Research and document pertinent information on claims requiring adjudication. + Assist Customer Service in responding to and… more
- Otsuka America Pharmaceutical Inc. (White Plains, NY)
- …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed 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
- Citigroup (Getzville, NY)
- …and product processor systems; investigate the root cause behind the delay; issue claims internally and externally; follow up until claim is paid / settled; and ... up to date and accurate audit trails for all claims + Be prepared for weekly aging sessions to...Operations - Transaction Services **Job Family:** Securities and Derivatives Processing **Time Type:** Full time **Primary Location:** Getzville New… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed 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
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed 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
- WMCHealth (Poughkeepsie, NY)
- …link Job Details: Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of medical services provided ... Responsibilities include initial billing, investigation and reconciliation of problem claims , insurance follow up, filing, and other clerical tasks.… more