- WSP USA (New York, NY)
- …+ Review schedule concepts, including baseline and monthly schedule updates + Review claims and related analysis and assist with response letters to contractor ... claims as necessary. + Analyze schedules, identify potential issues,...upholding workplace safety and ability to abide by WSP"s health , safety and drug/alcohol and harassment policies. Compensation Expected… more
- UHS (Binghamton, NY)
- Position OverviewUnited Health Services (UHS) is seeking a detail-driven Denials Recovery Specialist to join our Revenue Cycle team. In this role, you will ... investigate, analyze, and resolve denied insurance claims -ensuring timely reimbursement and supporting the financial integrity of our organization. Your critical… more
- Mohawk Valley Health System (Utica, NY)
- …Worker's Comp/No Fault is required. Knowledge in ICD-9, ICD-10, HCPCS coding and medical terminology is a plus. Core Job Responsibilities + Promotes a professional ... a contact when necessary to resolve outstanding issue on claims . + Determines whether payment from insurance billed is...years experience in billing, insurance, office procedures in a medical setting + Knowledge of general office equipment eg… more
- Otsuka America Pharmaceutical Inc. (Brooklyn, NY)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of...needs and nutraceutical products for the maintenance of everyday health . In its evolved customer engagement model, a Hospital… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Albany, NY)
- …& Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (New York, NY)
- …Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (New York, NY)
- …Executive General Adjuster - Northeast Region **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Kelly Services (Rochester, NY)
- …processing and review of prior authorization requests for both pharmacy and medical specialty drug reviews as permitted by law. Reviews are conducted in ... The Technician serves as a resource for staff on members' contract benefits, related health plan functions, and provides leadership in the intake area of the prior… more