- Highmark Health (Albany, NY)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** +...in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing,… 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 ...of mathematical analysis methods, including predictive analytics, natural language processing , reinforcement learning and causal inference with in-depth specialization… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Bachelor's degree with a minimum of two years' experience in long term care insurance claims processing . + Must have the ability to review and interpret medical ... Insured, Insured's family, care providers, and adjudication of the claims . All work is directed under the terms and...appropriate plan of care for Insured in conjunction with health care personnel at the physician office, hospital, home… more
- Walmart (Waterloo, NY)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Healthfirst (NY)
- …in Healthcare/ Health Plan customer service, operations, vendor management, or claims processing . + Previous work experience in an auditing function ... of healthcare Operations processes and supporting systems such as Claims Processing , Enrollment & Billing, and Member...lines of business such as Medicare NY/NJ, Medicaid, Family Health Plus, Child Health Plus, NH Family… more
- FLACRA (Newark, NY)
- …FLACRA's billing and payment collection processes. This position is responsible for processing claims , managing accounts receivable, and ensuring timely and ... up on outstanding balances. + Work with insurance companies to address disputed claims and resolve processing issues. + Maintain and update tracking spreadsheets… more
- Transdev (Hillburn, NY)
- …Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims ... and reconciliation processes. + Conduct daily informal safety and health inspections. + Assist the Safety and Training Manager...+ Assist the Safety Manager in working with corporate claims staff to ensure that all liability and Workers'… more
- Highmark Health (Albany, NY)
- …+ Strong understanding of end-to-end RCM processes, including billing, coding, collections, claims processing , and payer relationships. + Proven track record of ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Albany, NY)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- OLV Human Services (Lackawanna, NY)
- …operations. A critical part of the role involves evaluating insurance coverage, managing claims processing , and ensuring all aspects of patient care are ... to learn more: https://studentaid.gov/manage-loans/forgiveness-cancellation) + Casual dress code + Health , dental & vision insurance options + Free dental insurance… more