- SUNY Upstate Medical University (Syracuse, NY)
- …work queue. Serves as a resource to patients, staff, and medical providers for prior authorizations. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under general ... Assists clinics and patients with understanding prior authorizations and their medical (and possibly the pharmacy) benefits as required. Educates patients and… more
- Ellis Medicine (Schenectady, NY)
- …in a hospital or healthcare setting preferred. + Must have knowledge of medical records, medical terminology and billing requirements, CPT, HCPCS and ICD-9 ... Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are reviewed daily to ensure the provider… more
- Norstella (Albany, NY)
- …interest in healthcare and technology, experience analyzing large databases, (such as claims , EMR, and lab data), expertise with applications of study design and ... of studies using NorstellaLinQ real world data solutions of claims , lab, and/or EHR. Proficient speaking to and working...candidates who are on an OPT visa._ **Benefits:** + Medical and Prescription Drug Benefits + Health Savings Accounts… more
- Sedgwick (Albany, NY)
- …casualty workers compensation industry background and skill set. Managing and understanding claims data & casualty claims data.** **PRIMARY PURPOSE** **:** To ... a diverse and comprehensive benefits package including: + Three Medical , and two dental plans to choose from. +...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- AON (NY)
- …all service-related calls to assigned service person + Stay informed of all claims or service issues and become involved in resolution when required + Participate ... to detail + Advocate for insured with underwriting and claims + Ability to demonstrate a positive attitude and...plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves… more
- Adecco US, Inc. (New York, NY)
- …team. You will work on new product concepts-from initial positioning to claims validation-ensuring that all benefits are backed by scientific evidence prior to ... new product concepts (eg, anti-aging, suncare, brightening). + Assess product claims against existing scientific evidence; design and oversee clinical studies to… more
- Catholic Health (Buffalo, NY)
- …(IDM) position is responsible for monitoring and aggressively managing claims leaves, and absences associated with occupational and non-occupational injury ... regulations, and procedures for handling NYS Workers' Compensation and Disability claims . This position also requires the necessary expertise and active involvement… more
- MTA (Brooklyn, NY)
- …in state and federal trial and appellate courts related to varied tort claims involving MTA and its agencies. The successful candidate will have significant ... of a litigation team as related to personal injury claims brought against MTA agencies. + Conduct legal research;...phases of litigation. + Proven ability to forensically analyze medical records and varied technical information. + Ability and… more
- Sedgwick (Albany, NY)
- …& Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… 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 ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more