- Humana (Albany, NY)
- …and/or Medicaid health plan operations, such as provider relations, claims submission and payment, utilization management processes, behavioral health processes, ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Albany, NY)
- …Program (PRP) is committed to delivering comprehensive and accurate reconciliation of claims data to uphold the highest standards of data integrity and drive ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- University of Rochester (Rochester, NY)
- …+ Self Pay > $10,000 + Faith Based Reports + Budget Plans + Insurance billing **QUALIFICATIONS:** Associate 's degree in Business Administration and 2 years of ... necessary follow up activities which may include: + Initiating insurance billing + Explaining the balances shown on a...to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +… more
- University of Rochester (Rochester, NY)
- …orders and pends them for review and approval. Anticipates needs of insurance companies by gathering all necessary information for referrals and prior ... signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Financial Services department. What You'll Do + Handle and resolve assigned denied claims in multiple work queues including, but not limited to, eligibility and ... teams. Manage incoming voicemail and responds to patient, health insurance and payer vendors' queries as appropriate. + Assists...required or 1 year of revenue cycle experience. An Associate or Bachelor's degree is required in lieu of… more
- Glens Falls Hospital (Glens Falls, NY)
- …customer service, medical billing, and finance in healthcare. If you are an associate level or an experienced administrative professional with a working knowledge of ... healthcare billing, working with insurance companies, and Health Information Management (HIM), this growth...payer websites, and provider representatives * Promptly resolve denied claims with a goal of one touch resolution *… more
- Highmark Health (Albany, NY)
- …recommends process improvements for efficiencies. May provide guidance to Associate level employees. **ESSENTIAL RESPONSIBILITIES** + Intake operational objectives ... role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -...**Preferred** + 1 - 3 years in the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred**… more
- Aston Carter (Buffalo, NY)
- …with HR regulations. + Provide administrative support for benefits enrollment, claims processing, and employee inquiries related to benefits. + Assist with ... + Ability to manage multiple priorities. Additional Skills & Qualifications + Associate 's degree in Human Resources, Business Administration, or a related field… more
- Ferguson Enterprises, LLC. (Coxsackie, NY)
- …order and receiving documents + Ensure that all receiving documentation, freight claims , and correspondence with HQ are promptly completed with attention to detail ... offering not only includes benefits like health, dental, vision, paid time off, life insurance and a 401(k) with a company match, but our associates also enjoy… more
- Robert Half Management Resources (Holley, NY)
- …audits, certifications, and inspections. * Assist in managing Workers' Compensation claims and related documentation. * Respond to customer and internal inquiries ... * Compile and analyze data for safety and quality performance metrics. Requirements * Associate 's or Bachelor's degree in a related field is preferred. * Minimum of… more