- Conifer Realty LLC (Rochester, NY)
- …estate development company. This position requires a detail-oriented and proactive professional with 6-10 years of paralegal experience in corporate, real estate, ... business units and external stakeholders, and maintaining oversight of litigation and claims reporting for the organization. Position Details + Full-Time + Exempt +… more
- Elevance Health (Latham, NY)
- …as single point of service support (eg, phone and e-mail inquiries, claims , enrollment, billing) to Elite Broker contacts (Brokers, General Agents, Agencies, etc.) ... plan offerings, have issues that are impacting multiple service areas such as claims , eligibility, etc. and provide onsite support as needed) with timely and… more
- Ellis Medicine (Schenectady, NY)
- …Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider ... and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to...other healthcare providers, physicians and adverse situations, in a professional and courteous manner. + Provides assistance and information… more
- Sedgwick (Albany, NY)
- …Services & Insurance Executive General Adjuster **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help… more
- CVS Health (Albany, NY)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Molina Healthcare (NY)
- …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
- Humana (Albany, NY)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- Arc Allegany-Steuben (Bath, NY)
- …requirements. Financial Management + Review, prepare, and submit Self Direction billing claims through eVero on a monthly basis. + Cross-check units utilized against ... confirm services do not exceed participant allocations. + Reconcile denied or rejected claims , correct errors, and resubmit promptly to ensure timely payment. + Run… more
- FLACRA (Newark, NY)
- …and payment collection processes. This position is responsible for processing claims , managing accounts receivable, and ensuring timely and accurate payment ... school diploma / GED. Job Requirements: Key Responsibilities: + Process claims , including handling clearinghouse rejections and resubmissions. + Resolve claim… more
- WSP USA (New York, NY)
- …+ Review schedule concepts, including baseline and monthly schedule updates + Review claims and related analysis and assist with response letters to contractor ... claims as necessary. + Analyze schedules, identify potential issues,...of WSP, one of the world's leading engineering and professional services firms. Dedicated to serving local communities, we… more
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