- Elevance Health (Latham, NY)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,... claims . Health insurance… more
- MVP Health Care (Rochester, NY)
- …to work full-time, hybrid. + Minimum 3 years in health insurance or production-related environment. 2 years claims processing experience preferred. + ... At MVP Health Care, we're on a mission to create...improvement. To achieve this, we're looking for a Leader, Claims Operations, to join #TeamMVP. If you have a… 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 ... and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values… more
- Mount Sinai Health System (New York, NY)
- …**Responsibilities** The ideal candidate will have had some experience working with health administrative/ insurance claims data and other large datasets. ... **Job Description** The Department of Population Health Science and Policy at the Icahn School...applications for a Postdoctoral Research Scientist with interest in health economics, health services research, and … more
- CRC Insurance Services, Inc. (NY)
- …gathering information and drawing conclusions. Acts as a liaison between insured and insurance carrier to report, track and manage claims process. **ESSENTIAL ... the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze claim coverage with insurance carriers to… more
- TYLin (New York, NY)
- …with global insurance program experience. TYLin is seeking a Senior Analyst, Insurance & Claims Administration to support the execution of our global ... + Developing and maintaining processes, documentation, and reporting for insurance and claims management. + Responding to...The company and its employees are required to comply with all local health authority, legal or lawful client… more
- CVS Health (Albany, NY)
- …. 3+ years of experience handling complex druggist and professional medical malpractice claims with either a healthcare company, insurance carrier, third party ... At CVS Health , we're building a world of health...of experience handling complex druggist and professional medical malpractice claims with either a healthcare company, insurance … more
- Highmark Health (Albany, NY)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following… more
- Northwell Health (New York, NY)
- **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary basis. (Coding/ Claims experience needed, Data Analysis a plus) The ... Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Attends JOC meetings with providers as...(a plus) Experience: + Eight or more years of insurance experience within a healthcare or managed care setting… more
- New York State Civil Service (Islandia, NY)
- …Benefit Law, Volunteer Ambulance Workers' Benefit Law, Personal Injury Law, or Insurance Claims Law. Qualifying experience includes: experience as an attorney ... NY HELP Yes Agency Workers' Compensation Board Title Compensation Claims Referee (NY HELPS), WCB Item #4103 Occupational Category...can choose from a variety of affordable and generous health insurance programs.* Family dental and vision… more