- University of Rochester (Rochester, NY)
- …will make independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing ... payers to obtain payments, as well as contact payer representatives to research/resubmit rejected claims to obtain and verify insurance coverage. + Follow up on… more
- World Insurance Associates, LLC. (Syosset, NY)
- …degree in a business-related program or equivalent education and/or experience in the insurance industry. + Life/ Health insurance license or the ability ... Global Benefits (PGB) is now a part of World Insurance Associates. World Insurance Associates is a...setup of online benefits enrollment support tools. + Resolves claims or administrative issues on behalf of client, escalates… more
- Cardinal Health (Albany, NY)
- …and prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and ... appealing denied and rejected claims + Preparing, reviewing, and transmitting claims ...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization in Psychiatry and/or Neurology. Accountable for a… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k)… more
- University of Rochester (Albany, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims , identify problems, and take ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- CVS Health (Albany, NY)
- …timely and accurately. **Required Qualifications** + 1+ years of experience working with medical claims with the understanding of how benefit levels are applied. ... and payers, while working with other teams to resolve claims issues. + Documenting claims details into...hours in Eastern Standard Time. **Preferred Qualifications** + Previous health insurance work experience. + Excellent verbal… 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
- The Institute for Family Health (New Paltz, NY)
- …providers and payers regarding outstanding balance. + Interacts with other departments, insurance companies, medical professionals and patients on daily basis. + ... SPECIALIST I Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full...Organization. The representative shall have a basic understanding of medical billing and collections and will provide support to… more
- WTW (New York, NY)
- …experience. + Knowledge of insurance industries. Working knowledge of insurance functions especially product development, pricing, claims , underwriting and ... benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage),… more