- Elevance Health (Latham, NY)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... would provide an equivalent background. **Preferred Skills, Capabilities and Experiences** + Medical terminology training and experience in medical or insurance… more
- Molina Healthcare (Rochester, NY)
- …+ Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Sedgwick (Buffalo, NY)
- …and to share your insights. **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any complex ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Axis (New York, NY)
- …of this, we offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and wellness programs, ... and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the… more
- Terumo Medical Corporation (Queens, NY)
- …Date: May 31, 2025 Req ID: 4615 Location: Queens, NY, US Company: Terumo Medical Corporation Department: TIS Sales - New York Metro Terumo Medical Corporation ... (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high-quality medical devices used in a broad range of applications for numerous… more
- Defense Health Agency (Fort Drum, NY)
- **Overview** This position is located atGuthrie Ambulatory Care Center,Behavioral Health Department, Fort Drum, NY. Fort Drum is located in the picturesque Thousand ... Federal Holidays, a sick leave benefit and a first-class health and retirement benefit package. We are seeking ordinary...wear and have worn the uniform and their families. Medical malpractice liability insurance is not required for federal… more
- MTA (Brooklyn, NY)
- …06/03/25 Closing Date: Open Until Filled TA/OA Authority: Department: Occupational Health Services (OHS) Division/Unit: Medical Management & Operations Reports ... Staff Analyst Trainee Series - Occupational Health Services (OHS) Job ID: 11904 Business Unit:... Services . OHS must ensure all employees meet medical and drug testing city, state, and federal regulatory… more
- Highmark Health (Albany, NY)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... audit activities. Reviews medical records to determine data quality and accuracy of...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- Trinity Health (Clifton Park, NY)
- …professional manner consistent with the mission and core values of St Peter's Health Partners Medical Associates. Perform and coordinate front-end functions to ... this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more...related to the efficient and service-oriented operation of a medical practice. The Senior Registration Associate will perform all… more
- Elevance Health (Latham, NY)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more