- Guidehouse (New York, NY)
- …plan when needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold ... and associated coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system. +… more
- GAP Solutions Inc (Albany, NY)
- …systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice ... **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers,...and site collection, the candidate must possess knowledge of Health and Human Services Guidelines for federal drug testing… more
- Gilead Sciences, Inc. (Brooklyn, NY)
- …across the globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and a relentless drive ... of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing Gilead's products and… more
- L3Harris (North Amityville, NY)
- …and geographic location. L3Harris also offers a variety of benefits, including health and disability insurance , 401 (k) match, flexible spending accounts, ... and cyber domains in the interest of national security. Job Title: Sr. Specialist , Procurement Job Code: 30630 Job Location: Amityville, NY Job Schedule: 9/80:… more
- City of New York (New York, NY)
- …Committee (MLC) to pursue innovations in a variety of areas, particularly regarding City health insurance programs. The staff at OLR assist their fellow agencies ... H+H, and non-City payroll entities into the MBF database. - Claims Processing: Review and process Health and Fitness claims in accordance with program… more
- WTW (New York, NY)
- …will have a strong academic background and experience working in the (re) insurance industry evaluating and adjusting catastrophe models. **Key responsibilities** : + ... Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Friday 8:00 am - 4:30 pm Message to Applicants: Our benefits package includes health , dental and vision insurance , eligibility for employer 401k funding after 1 ... Job Summary: Candidate will be responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient… more
- University of Rochester (Rochester, NY)
- …and sends them for review and approval. + Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations. ... for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and drafts for provider signature.… more
- University of Rochester (Rochester, NY)
- …and pends them for review and approval. - Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations. ... signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider… more
- YAI (Manhattan, NY)
- …Federal, State, Local and other relevant regulatory agency requirements, including the Health Insurance Portability and Accountability Act (HIPAA) and ensures ... to support automated billing processes and/or transmits or resubmits corrected claims electronically in accordance with applicable agency requirements. + Reconciles… more