- FlexStaff (Chappaqua, NY)
- …contacting payers and patients by telephone or online, and appealing denied or incorrectly paid claims . Schedule: * Hours: 8:30 AM - 4:30 PM or 9:00 AM - 5:00 PM ... payers and patients via phone and online, and appealing denied or incorrectly paid claims . * Payer Appeals: Prepare and submit payer appeals through mail, phone, or… more
- Highmark Health (Albany, NY)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... problems. Provides research and technical support need to address complex claims and inquiries and/or when systems problems occur. Provides direction for… more
- MTA (Brooklyn, NY)
- …in state and federal trial and appellate courts related to varied tort claims involving MTA and its agencies. The successful candidate will have significant ... collaboratively as part of a litigation team as related to personal injury claims brought against MTA agencies. + Conduct legal research; draft appellate briefs,… more
- JPMorgan Chase (New York, NY)
- …Morgan Health, you will utilize your deep experience with health care claims warehouses, data transformations, and product design thinking to evolve and execute ... this role, you will leverage your expertise in medical and pharmaceutical claims data, survey data, biometrics data and industry-standard groupers to propose… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Elevance Health (Latham, NY)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- AIG (New York, NY)
- …consistency globally and set appropriate standards for Fronting in General Insurance (including but not limited to Multinational, NA Fronting, Group Captives, ... Office, Operations, Audit, COE, Modeling, Engineering, Natural Catastrophe Modeling, Actuarial, Claims , Regulatory and Legal to share insights and best practices… more
- University of Rochester (Rochester, NY)
- …clinical and non-clinical staff, identifying barriers to appointment compliance, insurance company barriers and tracking all assistance provided. Accountable for ... as an active member of the care team. Acquire insurance authorization for the visit and, if applicable, any...and appropriate medical terminology to use in order for claim to be approved, previous treatments that are necessary… more
- CDPHP (Latham, NY)
- …standards. This individual must have a strong understanding of health insurance payment ( claims , capitation, or commissions) processing, member/group enrollment, ... Toad (SQL tool). Qualifications: + Minimum of three (3) years healthcare insurance programs, processes, configuration and/or claims processing, IT, or customer… more
- AIG (New York, NY)
- …major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an AIG ... techniques and assessing the impact of loss trends and claims emergence. Also, they will be responsible for one...peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world… more