- Sedgwick (Albany, NY)
- …time frames, and claims status either by phone, written correspondence and/or claims system. + Reviews medical information to determine if the claimant meets ... medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical ... the power of human interaction with technology, we tailor solutions to support individual health needs and improve how people engage. Data is the cornerstone of our… more
- Mount Sinai Health System (New York, NY)
- …is primarily responsible for receiving prescriptions, addressing and rectifying rejected claims , conducting and completing necessary third party ( insurance ) ... 1. Receives prescriptions, with appropriate follow up on rejected claims . 2. Completes third party prior authorization requests and...Health System is one of the largest academic medical systems in the New York metro area, with… more
- Highmark Health (Albany, NY)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... :** GENERAL OVERVIEW: Applicants Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing data… more
- Sedgwick (Albany, NY)
- … medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Team Lead- Bilingual French, Hindi, Bengali or more **We are looking for… 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)
- The Director, Global Medical Publications will support Otsuka in leading and developing an overall scientific communication strategy for publications and congresses, ... and will work closely with the Global Medical Affairs Teams, Clinical Teams, Global Value & Real-World Evidence Teams, and Publications Management Specialists to… 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
- WTW (New York, NY)
- …benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage), ... Do you want to be at the forefront of insurance industry innovation and leadership? Do you want to...our team of pricing, portfolio management, underwriting, finance and claims experts to deliver consulting and technology solutions to… more
- City of New York (New York, NY)
- …and outcomes for Medicaid and Medicare enrollees. - Advance adoption of health insurance payment innovation initiatives such as guarantees of profitability, ... all New Yorkers. CHECW sits under the Agency's Chief Medical Officer. The Bureau of Equitable Health ...government and/or insurance companies. - Experience guiding insurance claims data analysis - Experience in… more