- Highmark Health (Albany, NY)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and communication with Insured, Insured's family, care providers, and adjudication of the claims . All work is directed under the terms and conditions of the various ... appropriate plan of care for Insured in conjunction with health care personnel at the physician office, hospital, home...of services as is deemed necessary. + Evaluates submitted claims to determine if services billed and provided are… more
- Travelers Insurance Company (New York, NY)
- …Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to ... our team, you will provide legal advice to our claims and underwriting colleagues as well as other business...legal experience. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- WTW (New York, NY)
- …acquisitions and divestitures, reviews contracts and fund agreements, tracks claims , and advises on insurance adequacy across investments. Note: Employment-based ... ensure premiums are paid in a timely manner 3. Track and review insurance claims with designated claims administrator + **Broker Relations & Insurance Strategy**… more
- MVP Health Care (Schenectady, NY)
- At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, ... well-being + An opportunity to shape the future of health care by joining a team recognized as a...Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims /Operations** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD**… 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 ...+ Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc +… more
- Independent Health (Buffalo, NY)
- …degree preferred + Six (6) months experience working for a health insurance company, physician's office or pharmacy required. Experience handling self-funded ... receive and effectively resolve written inquiries from members regarding claims , benefits, eligibility, reimbursement and participating providers. + Knowledge of… more
- Rochester Regional Health (Rochester, NY)
- …to, health care data systems, electronic medical records, paid claims , and national/regional benchmarks. The Quality Informatics Analyst-Senior analyzes data and ... executive level reporting and analysis to members of the health team as appropriate and to assist in building...Serve on Quality and Safety Steering teams throughout the health system. + Provide educational presentations and training to… more
- Highmark Health (Albany, NY)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines....skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and… more
- Apicha Community Health Center (Jackson Heights, NY)
- Apicha Community Health Center aims to improve community health by providing access to comprehensive primary care, preventive health services, mental ... plans. + Assist billing department - verify EOBs and claims . + Training - keep an updated list of...working experience preferred. + Experience in hospital or community health center preferred + Bilingual preferred (Spanish, Hindi, Bangla,… more