- Cognizant (Albany, NY)
- …degree preferred. + **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up on a physician's ... office **These will help you stand out** + **Examine Claims ** : Analyze denied and underpaid claims ...this position, subject to applicable eligibility requirements: + Medical/Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off +… more
- Walmart (Napanoch, NY)
- …facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures ... training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- CVS Health (Albany, NY)
- …opportunities, and quantitative evaluation of clinical program outcomes using Rx and medical claims data. You will champion the value of the Product to CVS by ... optimize clinical program outcomes for members and clients, using claims and other program outcomes data + Championing the...Experience working in pharmacy benefit and / or health insurance industries + Direct experience with analyses of Rx… more
- 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
- General Dynamics Information Technology (Menands, NY)
- …Required:** None **Job Family:** Professional Engineering **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 + ... TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience...personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our… 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