- Zurich NA (New York, NY)
- …of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of ... the Underwriting or Market Facing areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
- City of New York (New York, NY)
- …(TPHI) Reimbursement Unit is responsible for the authorization of Medicaid reimbursement claims of consumers receiving public health insurance which include ... insurance policy cancellation, interview, review, and process reimbursement claims for related Medicaid reimbursement out-of-pocket medical expense and to… more
- Highmark Health (Albany, NY)
- …resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This ... relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), Provider Data… more
- Zurich NA (New York, NY)
- …in the Claims or Underwriting Support area within the Commercial Insurance industryOR + Zurich Certified Insurance Apprentice including an Associate ... the Commercial Insurance industryOR + Zurich Certified Insurance Apprentice including an Associate Degree and...Claims or Underwriting Support area within the Commercial Insurance industryAND + 2 or more years of management… more
- Humana (Albany, NY)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Elderwood (Buffalo, NY)
- …living facility and private pay pharmacy claim billing + Troubleshoot rejected insurance claims resulting in payments + Prior Authorizations required from ... + Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy...and internal) Base wages increase with experience! Qualifications + Associate 's Degree or High School diploma (or GED) and… more
- Kelly Services (Rochester, NY)
- **Kelly(R) is looking for a Pharmacy Prior Authorization Technician to work at a top insurance client in the Rochester, NY area. Let us help you grow at work and ... information + Communicate with pharmacies/physician offices for clarification on requests and claims + Act as lead troubleshooter for pharmacy help desk, customer… more
- Zurich NA (Albany, NY)
- …of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of ... the Underwriting or Market Facing areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and...and 12 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelors… more
- University of Rochester (Rochester, NY)
- …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization ... that prevent patients from receiving their medications. Duties will include insurance coverage determination, patient out of pocket determination, determination of… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …creating event-driven architectures + AWS Certified Solution Architect - Associate or higher **Bonus Qualifications/Experience** + AWS Certified Solutions Architect ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more