- City of New York (New York, NY)
- …provided to insured New Yorkers that seeks services in the article 28 Health specialty Clinics, Article 36, and other Care Management service areas provide by ... Patient Billing by working alongside a team of talented health insurance billing specialist, you will perform health...clinic teams to ensure transparency. - Track and manage medical records requests from MCO to obtain prior authorization… 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
- Cardinal Health (Albany, NY)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off ... prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing… more
- Elevance Health (Latham, NY)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health ... by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will… more
- CVS Health (Albany, NY)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...**Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
- Stony Brook University (East Setauket, NY)
- …following requirements:** + Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… 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 ... for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an...Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- UNUM (Albany, NY)
- …Unum today! **General Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum ... + Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid… more
- Mount Sinai Health System (New York, NY)
- …in a health plan or consulting actuarial, financial reporting or medical economics departments highly valuable. + Experience as a nurse informaticist highly ... **Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial,… more