- Molina Healthcare (Syracuse, NY)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- Rochester Regional Health (Rochester, NY)
- …Responsibilities will include basic knowledge of medical billing, medical claims processing and accounts receivable collections. The Medical collection specialist ... must have the Ability to learn and understand medical billing protocol and reimbursement issues, work within Meditech and Emdeon to identify denial trends as well as be responsible for locating and monitoring overdue third party accounts preventing write off.… more
- Highmark Health (Albany, NY)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... sales and customer service to respond to client/broker/member inquiries regarding provider contract, claim/member issues or provider file/record/directory discrepancies. Consult with dental director/dental advisers regarding clinical-related questions and… more
- Molina Healthcare (Albany, NY)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
- Transdev (Hillburn, NY)
- …Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims ... + Assist the Safety Manager in working with corporate claims staff to ensure that all liability and Workers'...personnel so classified. The physical demands described here are representative of those that must be met by an… more
- ASM Global (New York, NY)
- …talent deals for appropriate indemnification, hold harmless, and insurance provisions. 4. Claims Oversight and Coordination + Lead the organization's claims ... process by establishing clear protocols for reporting, documenting, and tracking claims related to incidents, property damage, liability, and other risk exposures.… more
- City of New York (New York, NY)
- …5141. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer...requirement applies to you, please discuss with the agency representative at the time of interview. To Apply Click… more
- Uniland Development Company (Amherst, NY)
- …responsibilities of this position include managing Uniland's insurance policies and claims processes, assisting with claim and incident resolution and litigation ... pertaining to Uniland's business activities. + Facilitates administration of insurance claims , including builder's risk, liability, and property insurance and other… more
- Goodwill of the Finger Lakes (Rochester, NY)
- …information. Provide assessments and progress notes that will substantiate associated insurance claims . + Provide Oversight on Medical Billing for OT and Resolve ... Rejected Claims - 5% + Through EMR system, respond to...or without reasonable accommodation. The requirements listed below are representative of the knowledge, skill and/or ability required. EDUCATION… more
- Cognizant (Albany, NY)
- …4:30pm Easter Time Zone **About the role:** As an AR Physician Follow Up representative , you will make an impact by managing and resolving physician claim denials ... **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up...office **These will help you stand out** + **Examine Claims ** : Analyze denied and underpaid claims … more