- Mount Sinai Health System (New York, NY)
- …primarily responsible for receiving prescriptions, addressing and rectifying rejected claims , conducting and completing necessary third party (insurance) prior ... + 1 year of retail pharmacy technician experience + 3 years of health care related billing and/or retail pharmacy experience preferred + Registration with the… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider payment ... or without notice. Primary Responsibilities + Thorough review of claims and medical documentation. + Prepare cases for clinical...business school education is a plus. About At Brighton Health Plan Solutions, LLC, our people are committed to… 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
- University of Rochester (Albany, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… more
- City of New York (New York, NY)
- …Program. The New York City Comptroller's Office works to promote the financial health , integrity, and effectiveness of New York City government, in order to ... Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New...York. The Property Damage Division investigates and resolves tort claims including, but not limited to, automobile accidents, defective… more
- Highmark Health (Albany, NY)
- …resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This ... relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), Provider Data… more
- Baylor Scott & White Health (Albany, NY)
- **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest ... to time off benefits At Baylor Scott & White Health , your well-being is our top priority. Note: Benefits...accurate configuration of business requirement + Analyze larger sets claims data to evaluate patterns of billing as it… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...**Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
- CVS Health (New York, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...from concept inception, regulatory analysis, to review of marketing claims . Additionally, you will be responsible for providing detailed… more
- Highmark Health (Albany, NY)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... industry regulatory changes and assess their potential impact on Claims Operations, Customer Service and other operational areas processes...and investigations + 3 - 5 years in the Health Insurance Industry + 3 - 5 years the… more