- Centene Corporation (Queens, NY)
- …related to operational areas. + Oversee day-to-day operations including claims processing, provider network management, member services, utilization management, and ... Oversee implementation and optimization of health plan operations systems (eg, claims adjudication platforms, CRM tools). + Drive digital transformation initiatives… more
- Sedgwick (Albany, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Marine **PRIMARY PURPOSE** **:** To manage and be responsible for the ... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Marine Surveyor **PRIMARY PURPOSE** **:** To inspect cargo damaged in transit ... to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other… more
- Humana (Albany, NY)
- …timely and accurate submission of mandated reports, leveraging their understanding of claims data and Medicaid program requirements to drive accurate and timely ... pivot tables and summarizing data into reports and dashboards + Experience working with claims data + Experience working with big and complex data sets within large… more
- KPH Healthcare Services, Inc. (Rochester, NY)
- …and census entry to ensure accurate billing. + Verifying primary and secondary insurance coverage on residents. + Provide customer service and problem resolution to ... and follow-up + Track and re-bill pending Medicaid accounts + Re-bill claims as needed + Identify pattern problems (improper patient demographic data entered,… more
- TEKsystems (Rochester, NY)
- …preferred -Basic knowledge of medical billing, cording, collection processes, insurance policies, and governmental regulation provision preferred -Knowledge of UBO4 ... policies, and/or phone calls to the payer. Submit corrected claims and appeals. -Process account adjustments and refunds as...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Crouse Hospital (Syracuse, NY)
- …Checking payer websites and/or making phone calls to payers for status on unpaid claims . + Reviewing and analyzing all payer 835 files and hard copy Remittance ... Advices. + Timely submission of appeals on denied claims , and works payers' correspondence in a timely manner....Office. + Good working knowledge of all major medical insurance programs and electronic patient account computer systems. +… more
- The Estee Lauder Companies (Melville, NY)
- …complexity and collaborates cross-functionally to ensure readiness across claims , formulation, packaging, and operational scale-up. The role requires ... launch. * Ensure project deliverables meet technical targets including claims , stability, manufacturability, and regulatory compliance. * Proactively identify and… more
- Catholic Charities of the Dioscese of Albany (Albany, NY)
- …through: + Assist employees in the benefits program enrollment and benefit claims processes + Maintain changes to the employee benefit platforms including employee ... the initial contact for employee absences, employee leave request and workers compensation claims + Monitor the LOA email inbox for requests and questions; directs… more
- MTA (Brooklyn, NY)
- …assisting in managing the appellate practice unit, which handles appellate and insurance coverage litigation brought in state and federal trial, and appellate courts ... related to tort claims involving MTA agencies. The incumbent will have a...under New York's Labor Law sections 240 and 241(6), insurance coverage and indemnification matters. + Critically analyze torts… more