- Constructive Partnerships Unlimited (Manhattan, NY)
- Eligibility Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... + Execute and ensure accurate personal information, as well as, benefit/ insurance information, and living arrangements for all service recipients within the… more
- City of New York (New York, NY)
- …potential errors by reviewing records of Cash Assistance and Medical Insurance and Community Services Administration (MICSA) cases and analyzing their contents ... (1) Principal Administrative Associate II to function as an Eligibility Verification Specialist in its Eligibility Verification Division, who will: - Work on various… more
- Arnot Health (Elmira, NY)
- …premiums due from the employee.* 11. Responsible for the filing of life insurance claims and assisting employees and/or beneficiaries. 12. Communicates with ... benefit and retirement administration to include medical, dental, vision, life insurance , short-and long-term disability, and retirement plans. Reports directly to… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Answers inbound inquires related to prior authorizations and assists billing group on insurance claims . Completes outbound calls to payors and clinics to assist ... and procedures and applies acquired job skills to verify insurance rejections and contact clinics to initiate and receive...with prior authorizations. + Verifies insurance coverage related to prior authorizations by phone, online… more
- University of Rochester (Rochester, NY)
- …and pends them for review and approval. - Anticipates needs of insurance companies by gathering all necessary information for referrals and prior authorizations. ... signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider… more
- M&T Bank (Getzville, NY)
- …supporting documents and mail to attorneys. + Prepare and submit Proof of Claims (POC's) to the court, including supporting documents. + Creates payment coupons and ... in preparation for billing/payment. Approve payment. + Contact outside vendors (eg, insurance companies) to gather and/or provide information on accounts. + Prepare,… more
- Highmark Health (Albany, NY)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- Catholic Health (Buffalo, NY)
- …within the designated timeframe, (2) Appropriate levels of engagement with the insurance company, state or federal agency, or patient/resident to ensure timely ... up action based on a payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or escalation to ensure payment. A… more
- University of Rochester (Rochester, NY)
- …payment. Makes independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues ... companies and other third-party payers to obtain payments, research, and resubmit rejected claims to primary payers, obtain and verify insurance information. -… more
- GE Vernova (Schenectady, NY)
- …during project execution and ensures that commercial risks and opportunities (notably claims , change orders, vendor and insurance recoveries) are identified ... as negotiation. **Job Description** + Implement risk mitigation strategies + Develop claims settlement agreements + Manage and drive Contract Change Order execution… more