- New York State Civil Service (Schenectady, NY)
- …programs/services, policies, or procedures; reconciling accounts; or experience examining, investigating, processing , or adjusting insurance claims ; or ... of the Associate Workers' Compensation Examiner within the Office of Operations/ Claims Operations/No Insurance unit, the Worker's Compensation Examiner's duties… more
- University of Rochester (Rochester, NY)
- …steps necessary for processing /payment. - - Initiate collection phone calls to insurance companies to determine reason for claim denial or reason for unpaid ... decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must... claim . Address unpaid claims , and solicit a payment date from the payer.… more
- Sedgwick (Albany, NY)
- …triage ability + Ability to apply critical thinking under pressure + Knowledge of the insurance industry and claims processing + Knowledge of field case ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Crisis Care Triage **This nurse will need...assignment and facilitates initial onsite hospital visit for the claim . + Maintains communication with the customer, Client Service… more
- City of New York (New York, NY)
- …CIVIL SERVICE TITLE ELIGIBLE FOR 6.1.9. The Division of Financial Review and Processing (DFRP) is responsible for the initiation of adverse actions on cash ... receiving data from State Wage Reporting, Department of Corrections, Unemployment Insurance and Child Support Greater than Cash Assistance Grant computer matches.… more
- University of Rochester (Rochester, NY)
- …as to why claims are not paid and steps necessary for processing /payment. + Initiate collection phone calls to insurance companies to determine reason ... decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must...for claim denial or reason for unpaid claim . Address unpaid claims , and solicit a… more
- The Institute for Family Health (New Paltz, NY)
- … companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider credentialing ... with clearinghouse vendor and facilitates payer requirements as needed for electronic claims processing and retrieval of electronic remittance advices. + May… more
- CDPHP (Albany, NY)
- …working in a fast-paced high volume call center preferred. + A background in health insurance claims and appeals processing is preferred. + Experience with a ... + Demonstrated ability to determine, analyze and solve problems related to benefits, claims processing , claims and benefit appeals/complaints, enrollment and… more
- University of Rochester (Albany, NY)
- …requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up ... (EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims , identify problems, and take… more
- DXC Technology (New York, NY)
- …Software Development Life Cycle + Working knowledge of Asset management for insurance , Underwriting, Claims Processing , Digital engineering, and ... program which includes, but is not limited to, health, dental, and vision insurance coverage; employee wellness; life and disability insurance ; a retirement… more
- Sedgwick (Albany, NY)
- …preferred. **Skills & Knowledge** + Strong utilization practice knowledge + Knowledge of the insurance industry and claims processing + Knowledge of current ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Pharmacist This position is a PRN (as needed)...conduct a peer review of medications used on specific claims and provides insight for drug interactions, health and… more