- Ross Stores, Inc. (New York, NY)
- …**About this opportunity\.\.\.** The Coordinator, HR Ops is responsible for processing associate employment records for the Ross buying offices, i\.e\. payroll ... process, associate change of status processing and new hire activations\. The Coordinator is responsible...in prior paychecks + Responds to and vets unemployment claims with Equifax to ensure accurate management of process\.… more
- Hannaford (Pine Bush, NY)
- …claim forms if needed. * Maintain organized filing system for invoices, manual insurance claims , daily reports, etc.. in accordance with Standard Practice Manual ... in maintenance of third party prescription information and resolution of rejected claims . * Initiate prescription renewal requests to prescriber via telephone call… more
- Centene Corporation (Queens, NY)
- …stakeholders related to operational areas. + Oversee day-to-day operations including claims processing , provider network management, member services, utilization ... Oversee implementation and optimization of health plan operations systems (eg, claims adjudication platforms, CRM tools). + Drive digital transformation initiatives… more
- Bassett Healthcare (Cooperstown, NY)
- …staff performance, and collaborates with internal departments to support clean claims and regulatory compliance. + Decision Maker + Credentialing & Enrollment ... submission of provider data to IT for system updates and reimbursement processing for accuracy + Lead coordination with Information Technology to maintain… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …and census entry to ensure accurate billing. + Verifying primary and secondary insurance coverage on residents. + Provide customer service and problem resolution to ... + Complex account reconciliation + Account adjustments, bad debt processing + Third party, Medicare, Managed Care, and private...+ Track and re-bill pending Medicaid accounts + Re-bill claims as needed + Identify pattern problems (improper patient… more
- Dairy Farmers of America (East Syracuse, NY)
- …accuracy and completeness of information and eligibility for recovery. Submit approved claims to insurance carrier. Track claim through claim payment, ... within established departmental timeframes + Monitor new business and processing output to ensure accuracy of initial billing +...and education) + 0 to 2 years of related insurance experience + Certification and/or License - Appropriate license… more
- Guardian Life (New York, NY)
- …Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company committed to enhancing the wellbeing of its customers and their ... customer experience. Guardian created a Data Science Lab (DSL) to reimagine insurance in light of emerging technology, societal shifts, and evolving consumer needs.… more
- Elevance Health (Latham, NY)
- …to drive key project deliverables. The role involves implementing and maintaining 837 and claims flat files. **How you will make an impact:** + Analyzing complex end ... + Lead the design and implementation of innovative end-to-end frameworks for processing eligibility exchanges, ensuring they meet both business needs and industry… more
- Cognizant (Albany, NY)
- …to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more
- GovCIO (Albany, NY)
- …Healthcare Claims X.12 Transaction (837, 835, 277, etc.), Healthcare Claims and Payment Processing knowledge, Healthcare Eligibility Verification knowledge + ... Assistance* + Referral Bonus Program + Internal Mobility Program + Pet Insurance + Flexible Work Environment *Available to full-time employees Our employees' unique… more