- Excelsior Orthopaedics Group (Amherst, NY)
- …+ Generate and review routine reports, including aging summaries and outstanding claims status. + Communicate with insurance companies to verify coverage, ... This role is responsible for follow-up and resolution to optimize reimbursement from insurance carriers and patients on a timely basis. The Billing Specialist must… more
- Zurich NA (New York, NY)
- …experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience ... offering the best end to end solution for their insurance needs. + Using a disciplined approach to exposure...the level I or Level II and the hiring manager will determine the appropriate level based upon the… more
- Elevance Health (Latham, NY)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Elevance Health (Middletown, NY)
- … claims . Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network ... and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and developing enterprise-wide specific… more
- AON (Plainview, NY)
- …accounting package. + Prepare premium and profit-sharing remittances and carrier claims salvage payments including Subledger Ledger reconciliation. + Ensure timely ... Audits as needed. + Other duties as assigned by manager . How this opportunity is different Aon is the...+ Experience with Sage\AccPac, Workday and Cognos Finance + Insurance experience a plus, not a requirement. + Understanding… more
- The Institute for Family Health (New Paltz, NY)
- …+ Provides clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets as directed ... by the manager (s). + Communicates to management information related to...+ Verifies eligibility and performs data entry of patients' personal/ insurance information as needed to assist in payment of… more
- Evolent (Albany, NY)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- Sedgwick (Albany, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- CGI Technologies and Solutions, Inc. (Albany, NY)
- …industry and general business skills. Under the direction of the Asset Manager /Central Services Manager (CSM), the Business Processing Specialist will work ... determining their annual rent adjustments, reconciling monthly payment requests, processing claims for unpaid rent and damages and extended vacancies. The Business… more
- Zurich NA (Albany, NY)
- …experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience ... filled at either theMid-Senior or Senior Level. The hiring manager will determine the appropriate level based upon the...offering the best end to end solution for their insurance needs. + Using a disciplined approach to exposure… more