- Arnot Health (Elmira, NY)
- …Is responsible for employee benefit and retirement administration to include medical , dental, vision, life insurance, short-and long-term disability, and retirement ... employees with interpretation and application of Arnot Health benefits (ie claims processing, waiting period, qualifying events, covered expenses) and assisting with… more
- AON (NY)
- …to balance risk, customer value, and profitability. + Leverage data to analyze claims trends and product performance to inform product and underwriting decisions. + ... stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves of absence, paid… more
- AON (NY)
- …and influence decision-makers. + Work closely with product, marketing, operations, and claims teams to ensure integrated service delivery. Be the internal advocate ... stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves of absence, paid… more
- WSP USA (New York, NY)
- …and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate action. + ... Compile contract and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in the performance of the above… more
- Humana (Albany, NY)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... to make an impact** **Required Qualifications** + 1-5+ years of demonstrated experiencein claims processing + Minimum 1 year of proven successin root cause analysis… more
- Humana (New York, NY)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... Enrollment Period (AEP). + Utilize tools such as Availity to streamline claims submission, eligibility verification, and authorization processes. + Directly lead a… more
- Actalent (New York, NY)
- …you will manage the owner change directive process and contribute to monthly claims cost reporting. Responsibilities + Collaborate with the Project Manager and team ... directive processes with cost evaluations, estimating, and negotiations. + Prepare monthly claims cost reports. + Conduct internal and external cost reporting for… more
- Elevance Health (New Hyde Park, NY)
- …via telephone regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... limited knowledge of company services, products, insurance benefits, provider contracts and claims . Seeks, understands and responds to the needs and expectations of… more
- OLV Human Services (Lackawanna, NY)
- …+ Ensure the timely and accurate preparation and submission of billing claims and anticipated payments. + Regular communication with payers (insurance companies, ... of monthly revenue, utilization, and accounts receivable reports. + Processing of billing claims as necessary. + Updating of rate and procedure codes as necessary. +… more
- Humana (Albany, NY)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more