- NTT America, Inc. (Albany, NY)
- …or working with COOs, CUOs, and CCOs. + Deep knowledge of P&C insurance operations, underwriting, and claims processes. **Preferred Skills** + Understanding of ... will depend on the nature of the role offered. Company benefits may include medical , dental, and vision insurance , flexible spending or health savings account,… more
- Trinity Health (Albany, NY)
- …of clerical duties related to the efficient and service-oriented operation of a medical practice. Medical billing/ insurance background a must. Coding not ... Full time **Shift:** Day Shift **Description:** **Revenue Cycle / Medical Billing Analyst - Orthopedics Team - Albany, NY...our orthopedics team. Coding a plus but not needed. Insurance knowledge a must. Position reports to office 4… more
- Midwood EMS (Brooklyn, NY)
- …coding. + Handle medical collections, including following up on unpaid claims and patient balances. + Communicate with insurance companies to resolve ... days in office. Responsibilities + Process patient billing and insurance claims accurately and efficiently. + Review...claims in compliance with industry protocols + Review medical records for completeness and accuracy before billing. +… more
- Rochester Regional Health (Rochester, NY)
- …procedures. + Claims and Appeals Processing: Submits and follows up on insurance claims ; resolves denials and rejections; prepares appeal letters with proper ... Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied … more
- 32BJ Benefit Funds (New York, NY)
- …+ Strong knowledge base of healthcare industry and medical terminology + Insurance /managed care and claims processing background a plus. Work Hours: 35 Total ... - Flatiron District in Manhattan (NYC) + Comprehensive Health Package including medical , dental & vision coverage with no employee contribution to the premium… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …field working in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law ... case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care,… more
- Humana (Albany, NY)
- … claims , and customer service). + Collaborate with each Insurance Operations function to identify, understand, and align Stars-related business strategies, ... + 8-9 + years of quality improvement, developing & advancing enterprise strategy, insurance operations experience, ie: claims , UM, CM, call center, enrollment,… more
- City of New York (New York, NY)
- Job Description Summary Description: Bureau of Revenue focus on optimization of insurance billing and reimbursements for service provided to insured New Yorkers that ... Billing by working alongside a team of talented health insurance billing specialist, you will perform health insurance...clinic teams to ensure transparency. - Track and manage medical records requests from MCO to obtain prior authorization… more
- Sedgwick (Albany, NY)
- …**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and ... Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition,… more
- New York State Civil Service (Albany, NY)
- …only Case Manager in the NYS Segment.* Work up and process Workers' Compensation claims .* Approve and deny medical bills.* Respond to claimant and provider ... NY HELP Yes Agency Insurance Fund, State Title Assistant Insurance ...email.* Routinely communicate with employers to obtain info about claims .* File forms and correspond with the Workers' Compensation… more