- Healthfirst (Enfield, NY)
- …of questions and issues on topics such as eligibility, benefits, claims process, escalations, and products** + **Manage face-to-face encounters by interacting ... with customers to provide information in response to inquiries about products and services, improve overall member experience, and reduce waiting time to expedite traffic flow** + **Identify and de-escalate situations where member//provider is dissatisfied and… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
- CDM Smith (Woodbury, NY)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...\#LI-LP2 **Job Title:** FEMA Disaster Management Accountant **Group:** WAF Field Mod Fringe **Employment Type:** Temporary **Minimum Qualifications:** *… more
- Cardinal Health (Albany, NY)
- …is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid ... data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software… more
- Richmond Community Services (Mount Kisco, NY)
- …need and that all records are maintained accurately. + COBRA & Disability Claims : You'll help employees maintain their benefits through COBRA and manage both ... Short-Term and Long-Term Disability claims . As the main point of contact, you'll resolve...A Bachelor's degree in Human Resources or a related field (or equivalent experience) + At least 2+ years… more
- Oracle (Albany, NY)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for ... clinical validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities to… more
- Cardinal Health (Albany, NY)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely and accurate… more
- Walmart (Clifton Park, NY)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Northwell Health (Lake Success, NY)
- …of project plans and evaluates outcomes. This role is instrumental in ensuring claims are accurately prepared and edited within Epic before submission to payers, ... Analyst assists with project planning, research, and analysis related to claims management and billing workflows, ensuring initiatives meet their strategic… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of SLA's (service level agreements). * Identifies and solves contractual, claims , group/member and pricing issues with supplier through vendor maintenance. Supports ... including supporting programs, reviewing vendor-related concerns/issues, etc. Performs quarterly claims audits to ensure accurate claims processing. Maintains,… more