- Capgemini (New York, NY)
- …with a focus on Insurance , ideally on Property & Casualty or Life Insurance + Functional knowledge of Underwriting, Claims , Policy Admin, Sales and Actuarial ... purpose. **YOUR ROLE** As a **Manager** or **Senior Manager** in our ** Insurance ** team focused on **Transformation Management** , you will lead strategic programs… more
- University of Rochester (Rochester, NY)
- …up on 'non-routine' denied accounts through review of remittances (EOBs), insurance correspondence, rejections received thru daily electronic claims submission, ... calls, payer website, and in written communication Mails paper claims with appropriate attachments when needed ( insurance ...you're looking for a career in higher education or health care, the University of Rochester may offer the… more
- CDPHP (Latham, NY)
- …and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values ... mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with...service levels. Ownership is assumed for all aspects of claims examining and data entry on the FormWorks system,… more
- Syracuse Community Health Center (Syracuse, NY)
- …management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health record system. This role ... requires expertise in healthcare billing, coding, and insurance policies to identify root causes of denials, appeal incorrect decisions, and implement strategies to… more
- Stony Brook University (East Setauket, NY)
- …**Preferred:** + Experience investigating, reviewing, and following up on rejected, denied insurance claims and/or experience using claims scrubber systems. ... party billing and collection agencies. + Identify issues and patterns with claims / insurance companies and review to increase revenue and prevent unnecessary… more
- Sedgwick (Albany, NY)
- …either accredited, on your way to be accredited or qualified by experience + ** Insurance claims experience:** it is imperative that you have experience working ... on insurance ...on insurance claims within you respective field. Full claims ...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions is looking for an Implementation Manager with experience managing a complex, program of strategic projects that span ... hands on experience in setting and managing large complex projects in Healthcare Insurance across business, operational, and IT teams, spanning one or more work… more
- Catholic Health (Williamsville, NY)
- …encounters are accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and contracted payer ... limited to, the following : (1) Review of all claims for accuracy of demographic and charge information (2)...to ensure proper receipt of the claim by the insurance company or State/Federal agency. A high level of… more
- Mount Sinai Health System (New York, NY)
- …and analytic development skills and impact the patient community of the Mount Sinai Health System. **Qualifications** + BA or BS degree minimum, in a relevant field ... 5 years minimum in analytics development expertise, preferably in health care, or for a health provider,...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Sedgwick (New York, NY)
- …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… more