- Healthfirst (NY)
- …+ Experience in Healthcare/Health Plan customer service, operations, vendor management, or claims processing . + Previous work experience in an auditing function ... or deep understanding of healthcare Operations processes and supporting systems such as Claims Processing , Enrollment & Billing, and Member Services. + Knowledge… more
- Robert Half Finance & Accounting (Amherst, NY)
- …+ Handle the processing of disability, FMLA, PFL, and workers' compensation claims , and ADA accommodations + Oversee the processing for Workers Compensation ... 3rd Party Sick Pay + Ensure accurate and timely processing of paperwork + Maintain open communication and good...for efficient management of leaves + Process NYS Unemployment Claims , dispute inaccurate claims , and represent the… more
- MTA (Brooklyn, NY)
- …Operating Authority, which includes the New York State Department of Labor claims processing , hearings, appeals, adjournments, remands and quarterly audits. ... the incumbent will assist with the management of No-Fault (NF) motor vehicle insurance claims . Responsibilities: + Responsible for the day-to-day activities in… more
- M&T Bank (Getzville, NY)
- …+ Liaise with Accounting, Claims and Foreclosure groups. + Complete insurance claims for damaged properties and property registrations. + Understand ... day to day functions including filing and monitoring the insurance claim process for damaged properties, registration and deregistration...near future. + Respond to FHA demands, including BCDE Claims , and all other claims besides principal.… more
- Callen-Lorde Community Health Center (New York, NY)
- …patient service charges in EPIC, preparing and submitting electronic and paper claims , processing payments from third-party payers and patients, and managing ... codes with proper sequencing and modifiers, reviewing and validating coding for denied claims , and serving as a coding resource for the billing department to ensure… more
- JPMorgan Chase (New York, NY)
- …Morgan Health, you will utilize your deep experience with health care claims warehouses, data transformations, and product design thinking to evolve and execute ... this role, you will leverage your expertise in medical and pharmaceutical claims data, survey data, biometrics data and industry-standard groupers to propose… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Centene Corporation (New York, NY)
- …state of New York.** **Position Purpose:** Oversee and ensure the effective operation of Claims Support Services and Claims Projects. + Oversight of Claims ... related area or equivalent experience. 5+ years of experience in claim processing payer support services in healthcare, preferably with Medicare, Medicaid or… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Humana (Albany, NY)
- …make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,… more