- Stony Brook University (East Setauket, NY)
- …**Preferred:** + Experience investigating, reviewing, and following up on rejected, denied insurance claims and/or experience using claims scrubber systems. ... party billing and collection agencies. + Identify issues and patterns with claims / insurance companies and review to increase revenue and prevent unnecessary… more
- University of Rochester (Rochester, NY)
- …communication Mails paper claims with appropriate attachments when needed ( insurance EOB, medical records, etc.). Ensures additional documentation and/or ... assigned. Qualifications: - Required: Associates Degree and 4-5 years of professional medical claims billing and collecting experience; or equivalent combination… more
- Humana (Albany, NY)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Humana (Albany, NY)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- CDPHP (Latham, NY)
- …and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values ... Representative will work closely with Member Services, Provider Services, Claims Operations, and Medical Affairs to resolve...Member Services, Provider Services, Claims Operations, and Medical Affairs to resolve claims examining and… more
- FlexStaff (Chappaqua, NY)
- …and patients by telephone or online and appealing denied or incorrectly paid claims . Key Responsibilities: - Review insurance payments for accuracy based on ... Number** 159695 FlexStaff Our client is seeking a skilled Medical Biller/Accounts Receivable Specialist with a minimum of 2...- Prepare and submit appeals for underpaid or denied claims - Follow up with insurance carriers… more
- Mount Sinai Health System (New York, NY)
- …or combination of relevant experience and education + Entry experience; 1+ year medical insurance experience is preferred, including medical office ... patients, determines patient liability and coordinates payment of uncovered medical expenses. Assists patients with insurance and...Health System is one of the largest academic medical systems in the New York metro area, with… more
- University of Rochester (Rochester, NY)
- …dollar accounts. + Prepares information for and attend meetings with third-party insurance representatives on claims and systems issues for scheduled in-person ... to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Flowcast billing application, Microsoft… more
- Sedgwick (Albany, NY)
- …either accredited, on your way to be accredited or qualified by experience + ** Insurance claims experience:** it is imperative that you have experience working ... on insurance claims ..., dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings… more
- CVS Health (Albany, NY)
- … and/or pharmacy claims data * Experience in healthcare industry, including health insurance , PBM or pharmacy services **Education** * Bachelor's degree or ... At CVS Health , we're building a world of health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more