- Evolent (Albany, NY)
- …of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The ... Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience...or other related fields + X12 experience + Prior health insurance industry experience + Working knowledge of Microsoft… more
- OLV Human Services (Lackawanna, NY)
- …to learn more: https://studentaid.gov/manage-loans/forgiveness-cancellation) + Casual dress code + Health , dental & vision insurance options + Free dental insurance ... + Up to $600 every year for completing biometric health screenings on a single health insurance...the timely and accurate preparation and submission of billing claims and anticipated payments. + Regular communication with payers… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of services requested for the diagnosis and treatment of members' medical health conditions, applying established clinical review criteria, guidelines ... is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring… more
- Walgreens (Henrietta, NY)
- …Staff Pharmacist in developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care ... those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a...by medical provider detailing and outreach to health groups, retirement homes, nursing homes, and other forums… more
- Walgreens (Corning, NY)
- …Staff Pharmacist in developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care ... those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a...by medical provider detailing and outreach to health groups, retirement homes, nursing homes, and other forums… more
- WMCHealth (Kingston, NY)
- …Applicant link Job Details: Coordinates the orderly processing of all third party claims in accordance with the policies and procedures of the nursing home and ... accurate cash receipt and Ancillary Services posting to the Accounts Receivable system.Submits claims for third party insurance payers. Handles self pay billing in a… more
- WTW (New York, NY)
- …benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage), ... clients in all aspects of their insurance program, any claims , wording, coverage or industry news related queries are...Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Sedgwick (New York, NY)
- …growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. Work environment requirements for ... A comprehensive benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and life insurance, employee… more