- Elevance Health (Latham, NY)
- …I** is responsible for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an Impact** Primary duties may ... to: + Assists in synchronization of data among multiple claims systems and application of business rules as they...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate care ... employers and claimants in regard to claimants' workers' compensation cases. Provide claims processing for the Workers' Compensation and No-Fault lines of business.… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $146,955.00 - Maximum $210,100.00, ... 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
- Excelsior Orthopaedics Group (Amherst, NY)
- …Specialist will be responsible for processing the full lifecycle of medical claims -from charge entry and claim submission to payment posting, denial management, and ... rejections or denials promptly. + Prepare and submit appeals for denied claims , including documentation and provider narratives as needed. + Identify and report… more
- Norstella (Albany, NY)
- …service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard ... by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data *Your… more
- Norstella (Albany, NY)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- AIG (New York, NY)
- …Office, Operations, Audit, COE, Modeling, Engineering, Natural Catastrophe Modeling, Actuarial, Claims , Regulatory and Legal to share insights and best practices ... and work in close collaboration with all regional business leaders, Legal, Claims , Actuarial, Filing/Regulatory, Claims , and ERM. + Implementation of appropriate… more
- Rochester Regional Health (Rochester, NY)
- …reimbursement is received by RRH for clinical services rendered including professional , long-term/home care and hospital care, by effectively and accurately managing ... a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research...policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $164,530.00 - Maximum $245,985.00, ... 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)
- …toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $164,530.00 - Maximum $245,985.00, ... 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