- Excellus BlueCross BlueShield (Rochester, NY)
- …members' specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims , and the ... and promotional opportunities. All Levels + LPN, Medical Assistant, Health Plan customer service or claims processor...the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness… more
- Mount Sinai Health System (New York, NY)
- …diploma/GED plus 2 years of relevant experience + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a health ... Posting. Proficient in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + Associates Degree or high school… more
- Elevance Health (Latham, NY)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- UHS (Johnson City, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-oriented and proactive Commercial Insurance Liaison to join our team. In this critical role, ... prior authorizations for services provided to patients with commercial or managed care insurance plans. Your work helps ensure timely access to care while supporting… 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
- AON (New York, NY)
- …+ Bachelor's degree in relevant field. + License or Certificate Requirements: appropriate Insurance License/Life and Health How we support our colleagues In ... + Bachelor's degree in relevant field. + License or Certificate Requirements: appropriate Insurance License/Life and Health How we support our colleagues In… more
- Stony Brook University (East Setauket, NY)
- …knowledge and experience with investigating, reviewing, and following up on rejected/denied insurance claims and/or experience using claims scrubber system. ... Qualifications** + Experience investigating, reviewing, and following up on rejected, denied insurance claims and/or experience using claims scrubber… 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
- Human Technologies Corporation (Utica, NY)
- Job Description The Environmental Health and Safety Manager supports Human Technologies' mission of Creating Employment for People with Disabilities by ensuring ... * Perform the duties of our Site Safety and Health Officer and create and maintain Accident Prevention Plans...assess, document, and track incidents, near misses, and potential claims that may present a risk of loss to… 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