- BrightPath Early Learning & Child Care (West Seneca, NY)
- …hearings via phone to represent the organization while providing evidence to support claims . * All other duties as assigned. Top Reasons to join BrightPath Kids ... as 1 additional floating holiday. * Full-time staff are offered health insurance , dental insurance , vision insurance and $10,000 of company-paid life … more
- Guardian Life (New York, NY)
- …within the Group Benefits Product and Digital organization. As a leading dental insurance carrier, the growth and ongoing management of Guardian's network of over ... + Partner with leaders and key stakeholders across dental network, product, claims , service, finance and other business areas to pressure test recommendations, gain… more
- Humana (Albany, NY)
- …Disputes based on the business need + Review and extract information from claims + Work in partnership with other members of the Humana Interdisciplinary team ... InterQual experience + Managed care experience working directly with insurance companies + Additional non-compact nursing licenses **Work-At-Home Requirements** To… more
- Northwell Health (Melville, NY)
- …is a hybrid role. Job Responsibility + Understanding of various insurance carriers, including Medicaid, Medicare, HMOs, Workers Compensation, No Fault, contracted ... detailing patient demographics as well as updating payment and medical insurance information. + Processing patient payments and refunds. + Identifying medical… more
- Walgreens (Montgomery, NY)
- …advancements and professional growth + A problem-solver - You navigate challenges, from insurance claims to medication management, with ease **Apply Today & ... benefits package including medical, prescription drug, dental, vision, disability and life insurance for qualifying team members. Plus free flu shots for all team… more
- Walgreens (Brooklyn, NY)
- …with information technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. ... Resolves patient issues by working with insurance companies and medical providers and conducting or participating in third party audits. + Follows-up with medical… more
- BronxCare Health System (Bronx, NY)
- …registration billing information of patients, and obtains managed care insurance referrals. Schedules patient appointments, manages provider clinic schedule, ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Humana (Albany, NY)
- …Bonus/plus qualifications: + Cloud/Snowflake/Databricks experience + Working with Service Ops ( claims , B&E, etc. **Preferred Qualifications** + Health insurance ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 11-27-2025 **About us**… more
- Fresenius Medical Center (New York, NY)
- …project specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global contracts and analysis ... of rate structure conversion. + Consolidates patient insurance download data including developing standards for field review of data and reporting. + Provides… more
- New York State Civil Service (Middle Island, NY)
- …* Follow up on billing discrepancies, prepare documents for audits and claims reviews.* Caseload may change based on operational need.* Conduct on-site reviews ... providers and support services to address their personal needs.* Life insurance and Disability insurance .* The New York State Deferred Compensation Plan is a… more