- CVS Health (Albany, NY)
- …advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer ... needs by answering unasked questions. + Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.… more
- Intermountain Health (Albany, NY)
- …service behavior standards + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB) + Translations + ... accounting procedures such as debits/credits, required + Experience with insurance claim appeals, required + Excellent computer skills (including Microsoft Office… more
- AIG (New York, NY)
- …will be a trusted business partner, working closely with the underwriting and claims departments to ensure profitable performance and growth. How you will create an ... & maintain advanced models for various business functions such as pricing or claim monitoring + Work closely with underwriting business partners to review market… more
- CVS Health (Albany, NY)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... of problem solving and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School Diploma or equivalent GED… more
- Westchester Jewish Community Services (White Plains, NY)
- …3rd Party Insurance. This position ensures timely and accurate processing of claims , collections, and account reconciliations to support the financial health of our ... billing for Managed Care, Medicaid, and Third-Party Payers, ensuring timely claim submission, editing, transmission, and verification. + Manage collections and… more
- City of New York (New York, NY)
- …Clerical Associates, Eligibility Specialist, and Principal Administrative Associates involved in claim review and processing. - Assign, evaluate and review completed ... - Liaise with the Social Security Administration on any issues related to the claims or the use of the Government Service Online (GSO) application. Salary Range:… more
- CVS Health (Albany, NY)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies,… more
- Independent Health (Buffalo, NY)
- …and resolve inquiries; provide benefit clarification and eligibility; communicate claim and reimbursement information, facilitate proper utilization of policies and ... receive and effectively resolve written inquiries from members regarding claims , benefits, eligibility, reimbursement and participating providers. + Knowledge of… more
- City of New York (New York, NY)
- …domestic violence, in crisis intervention, advocacy, and assistance in filing a claim for victim compensation through the NYS Office of Victim Services, navigation ... release. Assist clients with the completion of and filing of victim compensation claims with the State Office of Victim Services. Prepare letters and forms to… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with MTM, Corporate Service strategy, NCQA, ... First Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other complex… more