- Cognizant (Albany, NY)
- …or requested; and other duties as assigned. Maintain and particpate in all Mass Health forums to understand, translate and implement Mass Health guidelines to ... and in a team environment + Extensive knowledge of Massachusettes Medicaid Mass Health laws required + Experience with Mass Health governing policies and… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. ... Description** Mount Sinai is one of the largest US health systems with a strong reputation for quality of...that may arise. * Liaise with external vendors or insurance carriers regarding claims that require third-party… more
- City of New York (New York, NY)
- …capacity to deliver critical services effectively and meet DOHMH's. Position Summary: The Health insurance Biller will be reporting to the Assistant Director ... along with 6 Health Insurance Billers. The ...systems, to ensure accuracy following CMS and other third-party insurance regulations. Monitor and review claims with… more
- Mount Sinai Health System (New York, NY)
- …operations staff, and insurance companies (both pharmacy benefit managers and health plans) to escalate and resolve claims payment discrepancies. * Analyzes ... for accuracy, ensure collection according to contracts, understand and follow-up with insurance payers (both pharmacy benefit managers and health plans) to… more
- Garnet Health (Harris, NY)
- …Services team at/in Garnet Health Medical Center- Catskills Responsibilities Files insurance claims to all payers in timely and accurate manner. ... Overview At Garnet Health , the Hudson Valley's leading integrated health...that impact collection of patient's accounts. Frequent contact with insurance companies, medical staff offices, ancillary department heads, patient… more
- Travelers Insurance Company (New York, NY)
- …within three months of starting the job. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including spouses, ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Melville, NY)
- …handling or comparable claim litigation experience. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (New York, NY)
- …within three months of starting the job. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including spouses, ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Mount Sinai Health System (New York, NY)
- …law, and the revenue cycle, with particular focus on PB and HB claims . o Understanding of the legal and regulatory environment surrounding healthcare contract ... is maintained across both professional billing (PB) and hospital billing (HB) claims . * Ensure that all contract terms are properly understood, interpreted, and… more
- Travelers Insurance Company (Albany, NY)
- …within three months of starting the job. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including spouses, ... evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle… more