- CVS Health (Albany, NY)
- …improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in providing our ... all with heart, each and every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the… more
- Colgate-Palmolive (New York, NY)
- …let's build a brighter, healthier future for all. The Leave Administration Specialist (Contract) reports to the Leave Administration Manager and supports the Manager ... Responsibilities: + Case management: Review leave requests (FMLA, STD/LTD, parental, medical , military, ADA); verify eligibility and documentation using the leave… more
- Elevance Health (Latham, NY)
- …technologies. + Trains associates on all upskilling of customer service and claims to include providing professional medical service facility correspondence, ... **FEP Performance Specialist ** **Location** : This role requires associates to...equivalent background. **Preferred Skills, Capabilities and Experiences:** + FEP Claims or Customer Service experience highly preferred. + Strong… more
- Molina Healthcare (Syracuse, NY)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to… more
- US Physical Therapy (Uniondale, NY)
- …billing and collection processes **Qualifications** + 2+ years of experience in medical billing/ claims management + Familiarity with CPT, ICD-10, and modifiers ... Physical Therapy is growing and looking for a **motivated, detail-oriented Accounts Receivable Specialist ** to join our Garden City team! This role is essential in… more
- Helio Health Inc. (Syracuse, NY)
- Overview To support the mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up on accounts receivable ... and any other duties as required to accomplish medical billing for Helio Health. The Billing Specialist...files necessary for research and documentation. + Researches open claims and processes appeals when necessary. Follows up on… more
- CDM Smith (Buffalo, NY)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- AIG (New York, NY)
- …in Lexington Healthcare AIG Healthcare has an opportunity for a Senior Production Specialist , specializing in Medical Malpractice and General Liability. The ... way we help customers to manage risk. Join us as a Senior Production Specialist , Lexington Healthcare to play your part in that transformation. It's an opportunity… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Candidate will be responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient ... to billing, insurance, and payments. Minimum Qualifications: 2-3 years Medical Billing Experience- Radiology preferred Follow -up skills Insurance knowledge… more
- WMCHealth (Poughkeepsie, NY)
- …practice pattern, a potential lawsuit, etc.) and alerts the department director, medical staff leadership, and claims manager. + Conducts special studies ... Quality Improvement Specialist - RN Company: MidHudson Regional Hospital City/State: Poughkeepsie,...leadership, direction and assistance to the hospital and the medical staff to achieve the goals of the Performance… more