- CDPHP (Latham, NY)
- …information required. + Chronic Conditions knowledge preferred. + Experience in claims adjudication, billing and enrollment systems, product or pricing is preferred. ... expression, transgender status, age, national origin, marital status, citizenship, disability , criminal record, genetic information, predisposition or carrier status,… 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 ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- Pearl Interactive Network (Albany, NY)
- …+ Navigate pre-scripted responses, read them verbatim to provide basic and claims -specific information, and ensure callers receive accurate details. + Perform other ... This is not an exhaustive list of all duties and responsibilities. Pearl management reserves the right to amend and change responsibilities to meet business and… more
- CVS Health (Albany, NY)
- …routine nature. + Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc + Maintain department ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- Mohawk Valley Health System (Utica, NY)
- …and uses them as a contact when necessary to resolve outstanding issue on claims . + Determines whether payment from insurance billed is accurate, based on DRG, ... thorough knowledge of rates for specific payor responsibility and advises management of any trends regarding inappropriate payments. + Maintains account receivables… more
- Independent Health (Buffalo, NY)
- …and ability to utilize multiple system tools simultaneously. + Strong organizational/time management skills + Proven examples of displaying the PBD values: Trusted ... receive and effectively resolve written inquiries from members regarding claims , benefits, eligibility, reimbursement and participating providers. + Knowledge of… more
- Elderwood (North Creek, NY)
- …Complete month-end close, prepare financial reports, and support year-end audits + Submit claims and follow through the AR and reimbursement cycle to ensure accurate ... under the direction of the Sr. Director of Revenue Cycle Management Qualifications + Minimum of two years previous Billing/Accounts Receivable experience… more
- CVS Health (Albany, NY)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... met Duties are but not limit to the below - Perform administrative and management work associated with program goals - Maintain calendar of events that are related… more
- Deloitte (Williamsville, NY)
- …Revenue Service ("IRS") and litigation settlement, interest reviews, and IRS refund claims . + Assist clients and Deloitte engagement teams with federal interest and ... and business approval: + Licensed attorney + Enrolled Agent + Project Management Professional (PMP) + Chartered Financial Advisor (CFA) Preferred: + Bachelor's… more