- Evolent (Albany, NY)
- …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Appeals and Grievances** at Evolent is responsible for reviewing and processing case ... rather than phone and fax activities. **Collaboration Opportunities** : The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as… more
- City of New York (New York, NY)
- …enthusiastic Trial Preparation Assistant, Level II (TPA II) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: ... court - Help maintain and make entries in various Appeals Bureau databases - Perform all other duties as...New York offers a comprehensive benefits package including health insurance for the employee and his/her spouse or domestic… more
- Humana (Albany, NY)
- …Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Humana (Albany, NY)
- …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- City of New York (New York, NY)
- …enthusiastic Trial Preparation Assistant, Level II (TPA II) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: ... The City of New York offers a comprehensive benefits package including health insurance for the employee and his/her spouse or domestic partner and unemancipated… more
- CDPHP (Latham, NY)
- …in a fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience with a ... and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people,… more
- Cardinal Health (Albany, NY)
- …queue as assigned in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate ... right things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of… more
- Helio Health Inc. (Syracuse, NY)
- …claims and processes appeals when necessary. Follows up on patient and insurance company issues in a timely manner. + Demonstrates the ability to perform all ... and/or staff when a question or concern arises. + Communicates insurance trends and unresolved appeals to the billing manager for further action. + Demonstrates… more
- New York State Civil Service (Rochester, NY)
- …City Rochester State NY Zip Code 14607 Duties Description Standard Duties:As an Appeals Senior Unemployment Insurance Referee, you would be responsible for ... HELP Yes Agency Labor, Department of Title Senior Unemployment Insurance Referee (Higher Authority) - UIAB - Rochester Occupational...day-to-day supervision and oversight of a team of Appeals Administrative Law Judges (ALJ) and operations of UIAB… more
- Robert Half Accountemps (Rochester, NY)
- …* Strong knowledge of electronic health record (EHR) systems. * Familiarity with insurance claim administration and appeals processes. * Advanced skills in ... medical billing procedures. Responsibilities: * Process and submit claims to insurance providers efficiently and accurately. * Manage accounts receivable and oversee… more