- Humana (Albany, NY)
- …**Required Qualifications** + Bachelors Degree + Minimum of 3 years of medical claims auditing experience (interpreting if claims initially paid correctly in the ... Payment Integrity (formally known as Financial Recovery) experience + CAS claims knowledge + Prior vendor relationship experience/knowledge + Intermediate knowledge… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more
- Humana (Albany, NY)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- Zurich NA (New York, NY)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... including an associate degree and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft Office + Experience working on… more
- Zurich NA (Queens County, NY)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... High School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of the insurance industry and the… more
- Robert Half Accountemps (Rochester, NY)
- …for medical practices, clinics, or hospitals. This role ensures that insurance claims are correctly coded, submitted, and followed up to maximize reimbursements and ... Responsibilities: + Review, verify, and process medical billing data for insurance claims and patient invoices, ensuring all information is accurate and complete. +… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft...color, religion, sex, sexual orientation, gender identity, national origin, disability , or protected veteran status. Zurich does not accept… more
- Robert Half Finance & Accounting (Roslyn Heights, NY)
- …within a healthcare setting. Your responsibilities will include managing insurance claims , addressing patient inquiries, and contributing to the overall success of ... the revenue cycle. Responsibilities: * Analyze and address denials and underpaid claims from insurance carriers based on contracted fee schedules. * Submit appeals… more
- New York State Civil Service (Schenectady, NY)
- …position will process quarterly Payer Penalty requests for review submitted by claims administrators. Specific duties include, but are not limited:* Demonstrate a ... knowledge of specific sections of the WCL, Board policies and procedures, and claims handling procedures for WC claims .* Display a professional and courteous… more
- Conifer Realty LLC (Rochester, NY)
- …business units and external stakeholders, and maintaining oversight of litigation and claims reporting for the organization. Position Details + Full-Time + Exempt + ... with the execution process in coordination with project management and legal teams. Claims , Litigation, and Risk Management + Track, monitor, and maintain records of… more