- Evolent (Albany, NY)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,...sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access… more
- Walmart (Napanoch, NY)
- …facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures ... training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- FlexStaff (New York, NY)
- …time off. In this role you will be ensuring timely and accurate claims processing, managing denials, and assisting with billing-related reporting and audits. This is ... the office. Requirements: * 5+ years of experience in medical billing and claims processing, and insurance follow-up. * Certification in medical billing and coding… more
- Intermountain Health (Albany, NY)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on ... contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims … more
- CVS Health (Albany, NY)
- …opportunities, and quantitative evaluation of clinical program outcomes using Rx and medical claims data. You will champion the value of the Product to CVS by ... evaluate and optimize clinical program outcomes for members and clients, using claims and other program outcomes data + Championing the client value story… more
- FlexStaff (Chappaqua, NY)
- …contacting payers and patients by telephone or online, and appealing denied or incorrectly paid claims . Schedule: * Hours: 8:30 AM - 4:30 PM or 9:00 AM - 5:00 PM ... payers and patients via phone and online, and appealing denied or incorrectly paid claims . * Payer Appeals: Prepare and submit payer appeals through mail, phone, or… more
- City of New York (New York, NY)
- …to its extensive infrastructure and operations, DEP is party to numerous lawsuits and claims filed with the New York City Comptroller and in Court. The Litigation ... attorneys who represent the agency in Court and Comptroller personnel who adjust claims against the City. The Litigation Support Counsel will also work on litigation… more
- Sedgwick (Albany, NY)
- …& Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in preparing loss experience report… more
- Ellis Medicine (Schenectady, NY)
- …Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider ... and payers are in agreement for appropriate claims reimbursed. + Monthly meetings with all payers to continuously improve communications between provider and payer… more
- General Dynamics Information Technology (Menands, NY)
- …Required:** None **Job Family:** Professional Engineering **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 + ... TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience...their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident,… more