- St. Mary's Healthcare (Amsterdam, NY)
- …to guide and educate insurance teams. . Collaborate with the Senior Claims Analyst to review issues, adjust workflows, and reduce unnecessary workloads. . Confirm ... determine the need for pre-authorization on denied claims. . Monitor high-dollar denials and rebilling of denied claims. . Assess financial responsibility for… more
- City of New York (New York, NY)
- …to ensure accuracy following CMS and other third-party insurance guidelines.- - Monitor EDI denials in a timely manner. - Prepare and batch claims out to third party ... satisfactory experience in employee benefits or health insurance as a manager, research analyst , or underwriter, or in public health education. One year of such… more