- Excellus BlueCross BlueShield (Rochester, NY)
- …Other components of the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time ... Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in… 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 ... measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims ...of health care services in accordance with claims submitted, and analyzes qualitative and quantitative data in… more
- Sedgwick (Albany, NY)
- … claims thoroughly using technical expertise and complex analysis. + Examines insurance policies, claims , and other records to determine insurance ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/ insurance verification activities to improve denial rates and enhance revenue. In-service ... productivity. - Registration Reconciliation Reporting with various departments. - Miscellaneous insurance report reviewed daily and identified claims for… more
- University of Rochester (Rochester, NY)
- …will make independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing ... as well as contact payer representatives to research/resubmit rejected claims to obtain and verify insurance coverage....you're looking for a career in higher education or health care, the University of Rochester may offer the… 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
- University of Rochester (Rochester, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. + Research claims , identifies problems, and takes ... claims . 15% + Follows established procedure for missing insurance payment information on claims . + Keeps...you're looking for a career in higher education or health care, the University of Rochester may offer the… more
- Molina Healthcare (Buffalo, NY)
- …industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... Economics provides support and consultation to the New York Health Plan and Finance team through analyzing key business...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- World Insurance Associates, LLC. (Syosset, NY)
- …degree in a business-related program or equivalent education and/or experience in the insurance industry. + Life/ Health insurance license or the ability ... Global Benefits (PGB) is now a part of World Insurance Associates. World Insurance Associates is a...setup of online benefits enrollment support tools. + Resolves claims or administrative issues on behalf of client, escalates… more
- Highmark Health (Albany, NY)
- …governmental agencies. These studies and projects may involve all aspects of the health insurance business and care management processes and may be confidential ... understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more