- Sedgwick (Albany, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... job site modification and/or obtaining adaptive equipment necessary; and to ensure medical , legal and accreditation standards are maintained. **ARE YOU AN IDEAL… more
- Otsuka America Pharmaceutical Inc. (Brooklyn, NY)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... its evolved customer engagement model, a Hospital Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering expertise on… more
- CVS Health (Albany, NY)
- …Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act as a ... handle customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication… more
- The Institute for Family Health (New Paltz, NY)
- REVENUE CYCLE SPECIALIST I Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full Time Education Level 4 Year Degree Salary Range ... Shift Day Job Category Admin - Clerical Description SUMMARY: The Revenue Cycle Specialist I is cognizant of the philosophy, standards, objectives and policies of the… more
- Saratoga Hospital (Saratoga Springs, NY)
- …as requested. + Manages STD/LTD programs and vendor relationships. Ensure that disability claims are coordinated with FMLA or general medical cases. + Assists ... HR Benefits Leave Specialist Salary Range: $21.78-$35.90/hr based on experience and...for all leave of absence cases. Effectively coordinates all cases/ claims to include general administration, comprehensive case management and… more
- Outreach Development Corporation (Richmond Hill, NY)
- …health services and training. For more information, please visit www.opiny.org. Position: Medical Billing & Collections Specialist Position: The medical ... the appropriate contact personnel is essential. Position 1 : Medical Billing & Collections Specialist Position Summary:... Position Summary: + Compile, monitor and bill out claims . + Verify client's insurance benefits on an ongoing… more
- Elevance Health (Latham, NY)
- Network Data Specialist IA proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior ... is granted as required by law. The **Network Data Specialist I** is responsible for accurate and timely maintenance...for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an… more
- ConvaTec (Massapequa, NY)
- …prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance ... explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including authorizations and limitations. + Investigates insurance claim denials, exceptions, or exclusions. Takes necessary action to resolve claim and payer… more
- CVS Health (Albany, NY)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Catholic Health (Williamsville, NY)
- …Exempt: No Work Schedule: Days Hours: 7:00am-4:00pm Summary: The Accounts Receivable Specialist -Billing supports the revenue cycle for Trinity Medical practices ... accurately completed for demographic and charge information. Additionally, all claims must be in compliance with federal, state and...School diploma + Graduate of a certificate program for Medical Billing Program preferred EXPERIENCE + Medical … more