- Cognizant (Albany, NY)
- …a High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures… more
- Albany Medical Center (Albany, NY)
- …school education or equivalent + 1-2 years of experience in medical billing or medical claims processing + Working knowledge in Excel and Word + Ability ... spirit in his/her team. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to… more
- Intermountain Health (Albany, NY)
- …+ Workflow Process + Communication + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management ... **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing , denials, payments, customer service, and follow up… more
- Humana (Albany, NY)
- …**Use your skills to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- New York State Civil Service (Oxford, NY)
- …Hwy. 220 City Oxford State NY Zip Code 13830 Duties Description Will perform medical billing and claims processing , including payment, coordination or ... subrogation of benefits. Review claims for eligibility and explains coverage amounts and benefit plan interpretation to patients or their representatives. Review … more
- Humana (Albany, NY)
- …skills to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...analyzing and researching medical claims + Proficient in Microsoft Office… more
- Cognizant (Albany, NY)
- …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was...of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality… more
- New York State Civil Service (Melville, NY)
- …include, but are not limited to:*Oversee all aspects of workers' compensation claims processing from inception to closing.*Initially determine the compensability ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/ Trainee 1/2 Occupational Category...the correct recipient and rate of compensation.*Schedule or waive medical examinations as necessary.*Analyze medical bills to… more
- Molina Healthcare (Buffalo, NY)
- …**Required Education** High School or GED **Required Experience** 3-5 years claims processing required **Preferred Education** Bachelor's Degree or equivalent ... + Manages a caseload of various types of complex claims . Procures all medical records and statements...combination of education and experience **Preferred Experience** 5-7 years claims processing preferred To all current Molina… more
- Sedgwick (Buffalo, NY)
- …**37.5 hour work week** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate and ... Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Examiner | Remote Are you looking for an... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
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