- Molina Healthcare (Yonkers, NY)
- …managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits, ... concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system… more
- Independent Health (Buffalo, NY)
- … payment. Technical Proficiency and Innovation + Retain technical knowledge of Independent Health 's customer documentation and claims processing systems to ... Experience in navigating multiple systems while interacting with a customer and/or processing claims . + Assume responsibility and adhere to departmental… more
- Arnot Health (Elmira, NY)
- …information.* 4. Advises and assists employees with interpretation and application of Arnot Health benefits (ie claims processing , waiting period, qualifying ... Benefits. DUTIES AND RESPONSIBILITIES: 1. Demonstrates thorough knowledge of Arnot Health benefit plans, retirement plans, and leave programs to provide general… more
- MVP Health Care (Schenectady, NY)
- …experience working in the medical community (medical office, medical records, medical billing), claims processing , health care or health insurance ... At MVP Health Care, we're on a mission to create...Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims /Operations** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD**… more
- CDPHP (Latham, NY)
- …working in a fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience ... + Demonstrated ability to determine, analyze and solve problems related to benefits, claims processing , claims and benefit appeals/complaints, enrollment and… more
- Independent Health (Buffalo, NY)
- …certificate and/or college degree preferred. + Six (6) months of medical claims processing /medical billing experience, customer service experience preferably in ... written, verbal and interpersonal communication with other departments within Independent Health to resolve problems related to claims payment. **Immigration… more
- MVP Health Care (Rochester, NY)
- …3 years in health insurance or production-related environment. 2 years claims processing experience preferred. + Strong knowledge of Medicaid, Medicare, and ... At MVP Health Care, we're on a mission to create a healthier...Commercial claims processing . + Familiarity with ICD-10, CPT, HCPCS, and Revenue codes. +… more
- Northwell Health (New York, NY)
- …conditions + Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Attends JOC meetings with providers as appropriate ... creating and testing compensation grids used for reimbursement and claims processing + Ensures that refund checks...range for this position is $28-$28/hour It is Northwell Health 's policy to provide equal employment opportunity and treat… more
- Elevance Health (New Hyde Park, NY)
- … processing , spreadsheets, etc.) strongly preferred. + Previous experience working in health claims is strongly preferred. For candidates working in person or ... ** Claims Representative I** **Location:** This role enables associates...Jersey, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Sedgwick (Albany, NY)
- …only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal ... + Communicating claim action/ processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger or more complex … more