- Humana (Albany, NY)
- … claims , and customer service). + Collaborate with each Insurance Operations function to identify, understand, and align Stars-related business strategies, ... + 8-9 + years of quality improvement, developing & advancing enterprise strategy, insurance operations experience, ie: claims , UM, CM, call center, enrollment,… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and place stop loss policies, negotiating terms based upon claims data, strategy, relationships, and cost avoidance/reduction efforts. +… more
- Capgemini (New York, NY)
- …proposal development, and thought leadership on emerging trends such as embedded insurance , ecosystem partnerships, AI/ML in underwriting and claims , and cloud ... value stream, including product design, distribution, underwriting, policy administration, claims , finance, and compliance. . Knowledge of insurance business… more
- Rochester Regional Health (Rochester, NY)
- …procedures. + Claims and Appeals Processing: Submits and follows up on insurance claims ; resolves denials and rejections; prepares appeal letters with proper ... Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied … more
- Rochester Regional Health (Rochester, NY)
- …RESPONSIBILITIES: + Medical Billing & Claims Management: Submit and track insurance claims , resolve denials and billing edits, process remittances and ... Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on...denials, customer service and relevant finance experience in a health care organization a plus + Certification in medical… more
- Arnot Health (Elmira, NY)
- …6. Sorts and distributes mail daily as needed. 7. Copies/scans any insurance information into the computer for proper billing, accepts co-payments/payments and ... maintains accurate records. Billing: 1.Verifies patient information, address, insurance , etc. 2.Prepares encounter forms for all office visits, consults, surgeries,… more
- Mount Sinai Health System (New York, NY)
- …medical billing or health claims with IDX billing systems in a health care or insurance environment and familiarity with ICD/CPT coding + Licensing: None ... in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** **Education requirements:** + High School diploma/GED… more
- University of Rochester (Rochester, NY)
- …underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. + Follows up on ... payment trends and issues. + Bills primary and secondary claims to insurance . + Identifies and clarifies... adjustments or retractions. + Reviews and works all insurance credits in electronic health record. +… more
- University of Rochester (Albany, NY)
- …accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. Follows up on unpaid ... payment trends and issues. + Bills primary and secondary claims to insurance . + Identifies and clarifies...insurance adjustments or retractions. Reviews and works all insurance credits in electronic health record. Enters… more
- JPMorgan Chase (New York, NY)
- …precision with timeliness + Proactively identify relevant data sources (including insurance claims , biometrics results, survey results, public or licensed ... be responsible for querying, compiling, manipulating, and synthesizing large quantities of health -related data - including medical and pharmacy claims , survey… more