- MetLife (Oriskany, NY)
- …analyze and render appropriate claim decisions on STD, PML and state claims . Clarify functional capacity through independent problem-solving measures and discretion ... Skills: Required: . High School Diploma . 2+ years of short-term disability (STD) experience Preferred: . Bachelor's degree . Strong communication skills, both… more
- University of Rochester (Rochester, NY)
- …signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider ... record, the necessary details, for review and inclusion when completing disability paperwork. - Assesses calls to understand patient needs, prioritizes medical… more
- Deloitte (Rochester, NY)
- …design and pricing) of other health & welfare benefit plans (eg, life, disability , dental, etc.) + Technical background in underwriting and other areas of health ... with PBMS + Experience performing analytical analysis of medical & pharmacy claims , including understanding financial impact of network changes, design changes and… more
- Northwell Health (Manhasset, NY)
- …companies. + Resolves issues related to credentialing, managed care participation, claims payment, demographic changes, referrals, and accessibility. + Responds to ... military or veteran status, sex/gender, gender identity, gender expression, disability , pregnancy, genetic information or genetic predisposition or carrier status,… more
- City of New York (New York, NY)
- …Justice system. Assist clients with the completion of and filing of victim compensation claims with the State Office of Victim Services. Prepare letters and forms to ... an individual's sex, race, color, ethnicity, national origin, age, religion, disability , sexual orientation, veteran status, gender identity, or pregnancy. Salary… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues that affect ... reimbursement of claims and advising the management team of those trends...a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical… more
- Intermountain Health (Albany, NY)
- …providers, and billing colleagues to enhance the efficiency and accuracy of the professional claims process. Our Claims Solution Specialist - Coders leverage ... **Job Description:** Claims Solution Coders utilize their professional coding expertise...religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain ... limited to telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Microsoft Word, Excel, Access, Email,… more
- Catholic Health (Buffalo, NY)
- …applicable laws, regulations, and procedures for handling NYS Workers' Compensation and Disability claims . This position also requires the necessary expertise ... legal field preferred + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), and/or claim adjuster...Minimum of three (3) to five (5) years of claims management or disability case management work… more
- GE Vernova (Schenectady, NY)
- …project execution and ensures that commercial risks and opportunities (notably claims , change orders, vendor and insurance recoveries) are identified early, tracked, ... as negotiation. **Job Description** + Implement risk mitigation strategies + Develop claims settlement agreements + Manage and drive Contract Change Order execution… more
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