- Cognizant (Albany, NY)
- …teams. **In this role, you will:** . Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. . Analyze denial trends and root ... and insights to management using advanced Excel skills. . Recommend updates to claim edits and work queues to improve efficiency and reduce payment delays. **What… more
- Ellis Medicine (Schenectady, NY)
- …years out patient coding experience required. Hospital, physician practice or insurance coding and billing experience required. Working knowledge of healthcare ... Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working...relationship with the PBO dept. to reduce and address claim issues and denials timely + Conducts training and… more
- Molina Healthcare (Rochester, NY)
- …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience...Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care… more
- Cognizant (Albany, NY)
- …Sales Cloud and Claim Vantage . Nice to have Skills : Claims vantage, SQL or Snowflake **Salary and Other Compensation:** Applications will be accepted until ... benefits for this position, subject to applicable eligibility requirements: + Medical/Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + 401(k) plan… more
- Trinity Health (Albany, NY)
- …on competencies and quality of work. + Leads oversight of appeals denied claims for elated services, drugs, treatments and supplies. + Obtains and ensures timely ... decision with care team and obtains additional required documentation to ensure claim is paid. + Identifies opportunities and participates in optimization of EHR… more
- City of New York (New York, NY)
- …Private, and intra-city award budgets, expenses, invoice/drawdown submissions, claim verifications, booking/realizing receivables, and annual/final Federal Financial ... to support public health research and analysis to ensure claims submitted to the Grantors are accurate and timely....entitled to unmatched benefits such as: oa premium-free health insurance plan that saves employees over $10K annually, per… more
- Centene Corporation (Queens, NY)
- …Investigate, resolve and communicate provider high dollar and high volume provider claim issues and changes + Educate providers regarding policies and procedures ... related to referrals and claims submission, web site usage, EDI solicitation and related...offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid… more
- Evolent (Albany, NY)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or management… more
- AON (NY)
- …a quote and making sales appointments + Survey prospects to determine insurance needs, inspecting current insurance policies, risk management plans, property, ... loss history + Develop and deliver formal proposals of insurance including details of coverages, limits, deductibles, and other...to assigned service person + Stay informed of all claims or service issues and become involved in resolution… more
- Zurich NA (New York, NY)
- …experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 3 or more years of experience ... offering the best end to end solution for their insurance needs. + Using a disciplined approach to exposure...Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 5 or… more