- CVS Health (Albany, NY)
- …Qualifications** + 2+ years of supervisory experience in healthcare reimbursement or medical insurance /billing + Clear understanding of how Collections and ... representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances,… more
- Highmark Health (Albany, NY)
- …and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate level ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- WMCHealth (Poughkeepsie, NY)
- …Internal Applicant link Job Details: Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of ... medical services provided to patients at Westchester ...Responsibilities include initial billing, investigation and reconciliation of problem claims , insurance follow up, filing, and other… more
- Capgemini (New York, NY)
- …tools like Docker and orchestration platforms like Kubernetes Deep knowledge of insurance workflows including policy issuance claims processing and customer ... or commission. Full time regular employees are eligible for paid time off, medical /dental/vision insurance , 401(k), and any other benefits to eligible employees.… more
- Sedgwick (Albany, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Surveyor Marine National Sr **PRIMARY PURPOSE** **:** To be responsible for the ... the cause of loss. + Receives and reviews new claims and maintains data integrity in the claims...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Humana (Albany, NY)
- …data mining, detects anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and our financial recovery. ... provider contract payments in our payer systems, and by ensuring correct claims payment. Begins to influence department's strategy. Makes decisions on moderately… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, ... to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (Buffalo, NY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Manager, Client Services | SIU **PRIMARY PURPOSE** : To manage accounts of ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …appropriateness of the plan of care, coordination of other insurance policies/providers, documentation and communication with Insured, Insured's family, care ... work is directed under the terms and conditions of the various individual insurance contracts. Essential Accountabilities: Level I + Operates as a case advisor for… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …chance to invent and to create so that we can provide answers to medical needs that have yet to be addressed. Another Japanese tenet, Jissho-Shugi, means "earning ... cross-functional study teams, and ensuring the highest standards of scientific and medical integrity. The incumbent will be responsible for the design and oversight… more