- Norstella (Albany, NY)
- …to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You ... teams to develop and refine database queries, data pipelines, and processing workflows, incorporating AI/ML methodologies for advanced analytics. + Partner with… more
- Sedgwick (Albany, NY)
- …directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and ... 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… more
- WMCHealth (Kingston, NY)
- …(https://pm.healthcaresource.com/cs/wmc1/#/preApply/29991) Internal Applicant link Job Details: Coordinates the orderly processing of all third party claims in ... 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
- Lactalis American Group Inc. (Buffalo, NY)
- …this position include: 1. Data Analytics + Analyze and validate complex trade claims and sales data to drive informed decision-making. + Design and maintain visual ... + Investigate and resolve trade spend discrepancies, pricing misalignments, and claim processing issues. + Build, interpret, and present profit & loss (P&L)… more
- Tutor Perini (New York, NY)
- …and responding to FOIL requests (Freedom of Information Laws). - Assist with claims and dispute related issues (research, compile and redact). + Identifies critical ... work plans. + Assists with monthly billings, cash flow projections, and processing change orders. + Reviews mock-up and/or shop drawings and specifications. +… more
- Tompkins Community Bank (Batavia, NY)
- Overview This position aids the Commercial Lines (CL) Department in the handling and processing of new and renewal business, claims and special projects. It will ... and Expired Policies Report. + Assist with First Notice of Loss and Reporting Claims to carriers, setting up ImageRight for the Claim. + Process and mail… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …refund requests + Complex account reconciliation + Account adjustments, bad debt processing + Third party, Medicare, Managed Care, and private billing, claim ... + Track and re-bill pending Medicaid accounts + Re-bill claims as needed + Identify pattern problems (improper patient...and private pay + Month-end closing process + Re-bill claims to improve reimbursement from NETRX reporting + Assist… more
- City of New York (New York, NY)
- …Reimbursement Unit is responsible for the authorization of Medicaid reimbursement claims of consumers receiving public health insurance which include reimbursable ... Medicaid consumers, insurance plans, medical facilities, etc. - Ensure timely processing of premium payments to avoid insurance policy cancellation, interview,… more
- Tompkins Community Bank (Batavia, NY)
- …To provide assistance to the CBU Team Leader in the handling and processing of new and renewal commercial business. Meet with insurance company representatives such ... protect collection of same. + Assist the Tompkins Insurance claims personnel in and working with the processor in...the processor in the reporting, handling and settlement of claims . + Be familiar with and follow agency E… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …claim processing standard operating procedures as needed to ensure claims are processed according to company policies and contractual obligations. **This role ... of Rebates and Admin fees outlined in GPO contracts. + Effectively resolve all claims in an accurate and timely manner. Proactively review, analyze, and establish… more