- Colgate-Palmolive (New York, NY)
- …on their healthcare and group insurance benefits offerings, including plan provisions and claims processing + Support and serve as a subject-matter expert on ... service to our employees and retirees, this role involves detailed claims resolution, eligibility support, and continuous project engagement to enhance our… more
- Highmark Health (Albany, NY)
- …experience as demonstrated by proficiency in one or more of the following areas: claims processing , adjusting or membership is required. Two (2) years Customer ... inquires from subscribers, members, providers, internal and external customers; Adjusts claims . This is a bargaining unit position. The collective bargaining… more
- Molina Healthcare (Yonkers, NY)
- …in Medicaid, Medicare, and Marketplace lines of business. + Familiarity with QNXT claims processing platform. + Knowledge of legal procedures related to complex ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Callen-Lorde Community Health Center (New York, NY)
- …patient service charges in EPIC, preparing and submitting electronic and paper claims , processing payments from third-party payers and patients, and managing ... codes with proper sequencing and modifiers, reviewing and validating coding for denied claims , and serving as a coding resource for the billing department to ensure… more
- Molina Healthcare (Yonkers, NY)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Mount Sinai Health System (New York, NY)
- …claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing claims , maintaining related files and logs, and checking ... in solving payment and other business office issues. 2. Monitors processing of claims for reimbursement and ensures all necessary documentation and attachment… more
- UHS (Binghamton, NY)
- …employees and carriers. + Tracks OSHA log + Tracks and assists with documentation and claims processing for Medicare and Workers' Compensation claims . + Has ... division. This behind-the-scenes role is responsible for data entry, processing authorizations, handling insurance correspondence, and ensuring documentation is… more
- City of New York (New York, NY)
- …VA Claims , Provide Veteran Benefits Counseling: Possess high-level knowledge of processing claims for Veteran benefits from the VA. Trainings and ... the Senior Executive Director will also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how to process VA … more
- City of New York (New York, NY)
- …systems, employment and work engagement services, revenue-producing computer matches, claims processing systems, and personnel management systems. ITS/Enterprise ... systems development, data telecommunications, database administration, planning of data/information processing , user services, or area networks, at least 18 months… more
- Humana (Albany, NY)
- …Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience ... it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and… more