- Sedgwick (Albany, NY)
- …+ Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more
- CVS Health (Albany, NY)
- …execute techniques, processes, and responsibilities. **Required Qualifications** + 2+ years of health insurance work experience and/or Healthcare Insurance ... At CVS Health , we're building a world of health...and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High… more
- Highmark Health (Buffalo, 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 ... to provide office based, hands-on assistance services (ie, chart reviews, mass claims adjustments, UDC processes, etc.) to PCPs enrolled in Medicare STARS, Medicaid… 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 ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY:** This job...position is responsible for educating members about how their insurance benefits work, the financial impact of healthcare choices,… more
- Rochester Regional Health (Rochester, NY)
- …occurrence and $6.9M aggregate plus tail coverage + Comprehensive Benefits Package: Health insurance , retirement plans, and more + Eligibility for ... + CME Allowance: $4,000 + Licensing & Professional Dues: $2,000 + Malpractice Coverage: Claims -made policy for professional malpractice insurance with $2.3M per… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or ... of the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from work, and… more
- MVP Health Care (Schenectady, NY)
- …methodologies and all current coding methodologies. + Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving ... At MVP Health Care, we're on a mission to create...activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy. + Perform research… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …vesting) and federal 401K with up to 5% in contributions by VA. Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... review. Participates in clinical review process such as tort claims , peer reviews, management reviews and administrative activities, as...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be required to… more
- CVS Health (Albany, NY)
- …and data analytics reporting and dashboards **Preferred Qualifications** + Self Funded Insurance experience + Medical Claims processing knowledge + Experience ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
- Northwell Health (Melville, NY)
- …is a hybrid role. Job Responsibility + Understanding of various insurance carriers, including Medicaid, Medicare, HMOs, Workers Compensation, No Fault, contracted ... detailing patient demographics as well as updating payment and medical insurance information. + Processing patient payments and refunds. + Identifying medical… more