- 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 ... data relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse… more
- University of Rochester (Albany, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims , identify problems, and take ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- Mount Sinai Health System (New York, NY)
- …is primarily responsible for receiving prescriptions, addressing and rectifying rejected claims , conducting and completing necessary third party ( insurance ) ... + 1 year of retail pharmacy technician experience + 3 years of health care related billing and/or retail pharmacy experience preferred + Registration with the… more
- City of New York (New York, NY)
- …and outcomes for Medicaid and Medicare enrollees. - Advance adoption of health insurance payment innovation initiatives such as guarantees of profitability, ... government and/or insurance companies. - Experience guiding insurance claims data analysis - Experience in...are entitled to unmatched benefits such as: oa premium-free health insurance plan that saves employees over… more
- GE Vernova (Schenectady, NY)
- …during project execution and ensures that commercial risks and opportunities (notably claims , change orders, vendor and insurance recoveries) are identified ... as negotiation. **Job Description** + Implement risk mitigation strategies + Develop claims settlement agreements + Manage and drive Contract Change Order execution… more
- Travelers Insurance Company (New York, NY)
- …meet state-specific requirements, where applicable. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... on all accounts. Under close supervision, performs risk evaluations and claims investigations on less complex accounts as assigned. Participates in individual… more
- GE Vernova (Schenectady, NY)
- …accordance with GE entitlement, including pursuing extension of time and other EPC claims + Research, pursue, negotiate and obtain insurance claim recoveries + ... commercial expert in preventing and mitigating high dollar value claims and risks. In this role, you will: +...to track and drive risk mitigation, vendor recovery and insurance recovery + Perform pre-award risk analysis of customer… more
- American Express (New York, NY)
- …we meet customers' borrowing needs in an evolving landscape. Within PML, the US Insurance Team owns a portfolio of No Additional Charge (NAC) and fee-based ... insurance products and services for customers across the Consumer,...Product Strategy** supports this objective by ensuring the ongoing health of the portfolio and innovating new strategies for… more
- Axis (New York, NY)
- …to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk ... for candidates taking part in the selection process. **Associate,** **Commercial Insurance ** **Program Evaluation & Implementation** **Hybrid New York, NY** The… more
- Rochester Regional Health (Rochester, NY)
- …effectively and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials ... payer website, coverage policies and/or phone calls to the payer. Submit corrected claims and appeals. + Process account adjustments and refunds as needed according… more
Recent Jobs
-
Pharmacist Intern, Casual - Community Pharmacy
- Minnesota Visiting Nurse Agency (Minneapolis, MN)