- Guardian Life (New York, NY)
- …partnership with provider contracting, legal, compliance, underwriting, network, and claims . Additionally, this individual will help identify, prioritize, and design ... enhancements. + Collaborate with others within the product area and Group Insurance to define business requirements for product, network, provider contracts, … more
- Robert Half Finance & Accounting (Albany, NY)
- Description We are looking for an experienced Manager of Workman's Compensation Insurance Services to oversee operations within the Member Services Department. This ... and services. * Process applications and documentation for new claims or policy transfers, ensuring timely submissions. * Manage...Workers' Compensation, submitting them to the New York State Insurance Fund for eligibility in Safety Group 486. *… more
- Cardinal Health (Albany, NY)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing denied and rejected … more
- UHS (Binghamton, NY)
- …team. In this role, you will investigate, analyze, and resolve denied insurance claims -ensuring timely reimbursement and supporting the financial integrity of ... + Own and manage assigned work queues (WQs) to resolve denied insurance claims efficiently and accurately, ensuring timely reimbursement. + Prepare… more
- Philadelphia Insurance Companies (Melville, NY)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine...with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the… more
- Stony Brook University (East Setauket, NY)
- …knowledge and experience with investigating, reviewing, and following up on rejected/denied insurance claims and/or experience using claims scrubber system. ... + Experience investigating, reviewing, and following up on rejected, denied insurance claims and/or experience using claims scrubber systems. + Experience… more
- Sedgwick (Albany, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Robert Half Accountemps (Garden City, NY)
- …Requirements * Proven experience in medical billing, including charge entry and claims processing. * Strong knowledge of insurance authorization processes and ... * Process medical billing transactions, including charge entry and insurance submissions, with precision and timeliness. * Handle medical collections… more
- HUB International (Melville, NY)
- … insurance carriers/third party administrators and other associated vendors ( claim reports, Geo Analysis, network effectiveness); + Reviewing proposals and ... you become part of the largest privately owned global insurance broker, providing a broad array of property, casualty,...through: + Generate and explain in layman's terms, projected claims , reserves and other key numeric indicators based on… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , + facilitating the accuracy and completeness of the practice's codes and charges ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: + High School… more