- Keith Titus Corp (Weedsport, NY)
- …and weekend rotation Company Benefits : + Aetna Meritain (2 plan health insurance options) + Company Sponsored HRA (Health Reimbursement Card) + Excellus Dental + ... Excellus Vision + Pet Insurance / Pet Discount Program (3 program options) +...confirm price table accuracy/customer billing information + Opens warranty claims , tracks & process, follow up on warranty shortages… more
- Humana (Albany, NY)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- MVP Health Care (Rochester, NY)
- …working in the medical community (medical office, medical records, medical billing), claims processing, health care or health insurance required. + Ability ... sources (hospitals, residency programs, internet sources, physicians, practitioners, and insurance companies). + Reviews files to ensure all necessary documentation… more
- Humana (Albany, NY)
- …- 3 years of grievance and appeals experience + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability to read, write, and ... English and Spanish + Prior experience with Medicare + Experience with the Claims Administration System (CAS) + Knowledge of medical terminology + Ability to manage… more
- GCG (Albany, NY)
- …guidelines and detailed manuals. These efforts will not only support warranty claims but also enhance customer satisfaction by delivering service that sets us ... user-friendly + Develop detailed manuals to assist customers with warranty claims and installation support + Provide on-site training, product demonstrations, and… more
- AECOM (Jamaica, NY)
- …diverse group of professionals, including the company's executives, attorneys, risk and insurance managers, engineers, scientists and contracts staff, as well as the ... + Multi-tasking on a large number of various contract issues, claims and/or litigation, and general advice requests. **Qualifications** **Minimum Requirements:** +… more
- Northwell Health (Lake Success, NY)
- …for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, assisting in helping ... Job Responsibility + Assists in processing and managing patient claims . + Assists in collecting payments from third party.... + Assists in collecting payments from third party insurance carriers and patients. + Assists in resolving any… more
- Humana (Albany, NY)
- …clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key ... or managed care working experience + Experience working with medical, pharmacy, lab claims + Experience working with big data and using PySpark, Spark R or… more
- Evolent (Albany, NY)
- …Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost drivers, utilization ... times, PMPM, trend drivers), with a working knowledge of healthcare claims and reimbursement methodologies. + Experience presenting actionable business insights to… more
- UHS (Binghamton, NY)
- …as needed. + Analyze electronic claim rejection reports, correct errors, and resubmit claims promptly for reimbursement. + Verify claims and payments to ensure ... accurate financial records. + Update patient registration information to ensure correct insurance billing and timely payment. + Prepare and forward refund requests… more