- MVP Health Care (Rochester, NY)
- …justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law ... with and analyze data in cooperation with Pharmacy, Medical Affairs, Operations , Provider Relations, Credentialing, Customer Care Center, Legal and other corporate… more
- Independent Health (Buffalo, NY)
- …self-funded pharmacy calls preferred. + Experience in a call center operations environment preferred. + Demonstrated ability to effectively communicate with internal ... receive and effectively resolve written inquiries from members regarding claims , benefits, eligibility, reimbursement and participating providers. + Knowledge of… more
- MVP Health Care (Rochester, NY)
- …contact our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims / Operations ** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** ... various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. **Where you'll… more
- Robert Half Accountemps (Garden City, NY)
- …with healthcare providers and insurance companies to streamline billing operations . * Maintain accurate records and documentation to ensure compliance with ... Requirements * Proven experience in medical billing, including charge entry and claims processing. * Strong knowledge of insurance authorization processes and payer… more
- Trinity Health (Rensselaer, NY)
- …skills. + Strong verbal and written communication skills, required + Clinical/ Healthcare experience, preferred. + EMR and Billing/ Claims familiarity, preferred, ... progressively responsible related work experience, including knowledge of payer operations and quality programs, research methods, basic statistics, business… more
- GE Vernova (Saratoga Springs, NY)
- …through management of project related activities and resources. Impacts departmental operations and responsible for planning/execution. The role has some autonomy ... data and books + Support project close out and claims + Lead the team of Project Cost Control...USD Annual (US range ONLY, not used for Canada) ** Healthcare benefits include medical, dental, vision, and prescription drug… more
- Centene Corporation (New York, NY)
- …Directors** Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid ... to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services in order to… more
- Kelly Services (New York, NY)
- …critical in identifying benefit plan issues and work as the liaison between the Operations Team and the Client to assure the benefit program is administered as ... oversight/management the company will provide. + Resolve group level issues with claims , funding, eligibility etc. as needed by enlisting the appropriate resources… more
- City of New York (New York, NY)
- …for the City of New York, you will receive excellent benefits, including healthcare , vision benefits, dental benefits, as well as the opportunity to participate in ... managerial and/or supervisory positions. - Prior experience in Benefits Administration/ Operations , including defined benefit retirement plan administration or relevant… more
- BronxCare Health System (Bronx, NY)
- …Care Units to perform clerical and receptionist duties related to the day-to-day operations of the Nursing Units. Are responsible for the coordination of unit ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more