- Travelers Insurance Company (Melville, NY)
- …comparable litigation claim handling experience. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Catholic Health Services (Centereach, NY)
- Overview Catholic Health is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care ... hospitals, three nursing homes, a home health service, hospice and a network of physician practices...EMR platforms Experience with retail pharmacy prescription processing and claims adjudication Prior experience on pharmacy dispensing systems and… more
- Arnot Health (Elmira, NY)
- …for concurrent and retrospective authorization and denial activities for Arnot Health . Identify, track and trend, record and collect patient accounts denied ... of the System Director of Care Coordination coordinates data with other Arnot Health departments and third party payers to discourage preventable denials DUTIES AND… more
- Whitney Young Health Center (Albany, NY)
- …and updates all demographic and insurance data as necessary. + Process pending claims as directed by Director and/or Manager of Revenue Cycle. + Responsible ... identification of payment variance invoices, follow up and resolution of denied claims . Responsible for working correspondence denials and insurance follow up.… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
- CDPHP (Albany, NY)
- …and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values ... sales, renewals, and new business implementation. This is a great opportunity for a health insurance sales, support or operations professional to add value in a… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of our new ... operations, and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers, Field Reimbursement Managers,… 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 ... of experience specific to the Dental Solutions Application Portfolio (eg, Concordia Claims Processing & RENO, Portal applications, UCD billing, etc.) may be… more
- Duane Reade (Woodside, NY)
- …with information technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. ... Resolves patient issues by working with insurance companies and medical providers and conducting or participating...as mentors and coaches. Communications + Supports the Store Manager by communicating relevant corporate health and… more
- Albany Medical Center (Albany, NY)
- …of Insurance & Business Operations, this position assists in managing insurance claims , coordinating data for renewals and actuarial reviews, and ... & Risk Management Support* Compile and analyze risk and claims data for use in insurance renewals,...and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and… more