- Molina Healthcare (Buffalo, NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems ... & ABILITIES** : 1 year customer service, provider service, contracting or claims experience in the healthcare industry. **PREFERRED EDUCATION** : Associate's Degree… more
- AECOM (New York, NY)
- …activities. + Identify conditions that could lead to a change orders or claims . + Review contract documents and advise regarding procedures and policy within. When ... to analyze schedule impacts of additional work and potential claims . + Help to prepare and submit claims...is not available for this role Offered rate of compensation will be based on individual education, qualifications, experience,… more
- Guidehouse (New York, NY)
- …this position include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity ... and associated coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system. +… more
- JPMorgan Chase (New York, NY)
- …synthesizing large quantities of health-related data - including medical and pharmacy claims , survey data, and biometrics. You will design creative solutions and ... with timeliness + Proactively identify relevant data sources (including insurance claims , biometrics results, survey results, public or licensed data) and understand… more
- Stony Brook University (East Setauket, NY)
- …but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental/unit ... + Assists in maintaining and creating payer report cards, claims tracking and management reporting as requested. + Assists...faith and reasonable estimate of the range of possible compensation at the time of posting. The specific salary… more
- Molina Healthcare (Buffalo, NY)
- …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 ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Travelers Insurance Company (Buffalo, NY)
- …Imagine loving what you do and where you do it. **Job Category** Claim ** Compensation Overview** The hourly salary range provided for this position is a nationwide ... other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for...and protocols. + Exposure to Personal and Business Insurance claims of basic to moderate complexity. + Learn and… more
- Mount Sinai Health System (New York, NY)
- …roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred ? Experience ... and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from Quality Director ? Effective communicator ?… more
- Humana (Albany, NY)
- …encompasses critical functions including care coordination, quality measurement, billing, claims processing, and customer service, each essential to delivering a ... operational knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance Operations… more
- USAA (New York, NY)
- …and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate ... Maintains accurate and current claim file documentation throughout the claims process for low complexity claims . +...record through MVR & possession of valid driver's license. ** Compensation range:** The salary range for this position is:… more