- C&W Services (New York, NY)
- …report and manage the corrective actions * Support Workers Compensation (WC) claims tracking, investigation, and management process * Liaise with WC Program Manager ... cabinets and fax machines. PHYSICAL DEMANDS The PHYSICAL DEMANDS described here are representative of those that must be met by an employee to successfully perform… more
- University of Rochester (Rochester, NY)
- …that the process conforms to federal and state regulations. The Collections Representative will represent the department and Strong Memorial Hospital (SMH), Highland ... 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
- Highmark Health (Buffalo, NY)
- …to provide office based, hands-on assistance services (ie, chart reviews, mass claims adjustments, UDC processes, etc.) to PCPs enrolled in Medicare STARS, Medicaid ... STARS, Medicaid HEDIS, risk revenue). + Function as the Organization's representative subject matter expert in government value-based reimbursement programs and data… more
- City of New York (New York, NY)
- …receiving data from State Wage Reporting, Department of Corrections, Unemployment Insurance and Child Support Greater than Cash Assistance Grant computer matches. ... act on behalf of the Bureau of Fraud Investigation, Liens and Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their staff review cases,… more
- Walmart (Niagara Falls, NY)
- …impact on and reputation in the community. Serves as a credible spokesperson, representative , and sponsor of the company to the public and the community. Talent: ... aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates… more
- Highmark Health (Albany, NY)
- …leadership at client organizations. + Act as a trusted advisor and representative of the Highmark enterprise. + Collaborate effectively with internal stakeholders ... the healthcare industry. + Understanding of health plan operations, including claims processing, enrollment, billing, and customer service. + Proven track record… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Interacts with Operations, Enrollment and Billing, Customer Care, Claims , Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments ... process review. * Attends meetings and/or trainings as a representative of the Account Service Team and shares the...package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from… more
- GAP Solutions Inc (Albany, NY)
- …systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice ... each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- 32BJ Benefit Funds (New York, NY)
- …and Excel + Strong knowledge base of healthcare industry and medical terminology + Insurance /managed care and claims processing background a plus. Work Hours: 35 ... perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. + Excellent… more
- National Express (Rochester, NY)
- …events to ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. + Computer literacy skills ... word processing and spreadsheets _We offer medical, dental, vision, basic life insurance coverage, holiday pay, and PTO accrual. Additionally, employees are able to… more