- Excellus BlueCross BlueShield (Buffalo, NY)
- …+ Thoroughly acquaints appropriate account personnel with benefit explanations, claims filing, and billing procedures, proposed rate adjustment rationale, mandated ... benefits, statutory changes and state and federal issues impacting health insurance delivery systems. Conducts educational meetings to review existing benefits and… more
- Stony Brook University (East Setauket, NY)
- …approves Financial Assistance applications. + Investigates and accurately updates insurance coordination of benefits (COB), including refund request letters, ... the unit and the office. + Verifies and updates insurance plans. + Liaises with third party billing and...reviewing and following-up on rejected/denied inpatient and outpatient hospital claims . + Knowledge of CPT, HCPCs and ICD-10 coding… more
- HUB International (New York, NY)
- …at HUB International, you become part of the largest privately owned global insurance broker, providing a broad array of property, casualty, risk management, life ... Liability, Commercial Property, etc. + Managing submissions pipeline to various insurance markets - communicating with carriers daily to discuss updates and… more
- Humana (Albany, NY)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- NASCO (Albany, NY)
- …with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS ... for volunteering + Employee Assistance Program + Wellness program - earn insurance discounts or credit towards health-related items **Financial Health Benefits** +… more
- Staffing Solutions Organization (Albany, NY)
- …Eligibility & Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance , Medicare Savings Program and Recoveries** **Telecommuting Option:** This ... + Work independently to review information submitted relative to Third Party Health Insurance (TPHI) and make the necessary determination regarding when and how to… more
- Guardian Life (New York, NY)
- …to work closely with one of our core GB value streams (eg, underwriting, claims , distribution, etc.) to manage, define, shape, prioritize and lead the delivery and ... a highly independent senior manager with the ability to become rapidly conversant in insurance business processes. + You have an aptitude for using and shaping data… more
- J&J Family of Companies (Smithtown, NY)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... following Company sponsored employee benefit programs: medical, dental, vision, life insurance , short- and long-term disability, business accident insurance , and… more
- Insight Global (New York, NY)
- …space to join the service team of one of their top clients in the insurance space. The role involves managing a large book of business, consisting of approximately ... benefits and premiums, responding to client inquiries regarding benefits and claims , and reviewing coverage contracts for accuracy. The position also manages… more
- Elevance Health (Latham, NY)
- …law. The **Group Underwriter Senior** is responsible for determining acceptability of insurance risks and appropriate premium rates for large, complex renewal and ... or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan… more