- Elderwood (Williamsville, NY)
- …with Company Match, Free On-Site Parking, Generous PTO & holiday package, Life Insurance , Medical , Dental, and Vision insurance Responsibilities The Human ... return-to work expectations. Unemployment & Workers Compensation28. Ensure timely response to claims for unemployment insurance . Verify that all termination data… more
- Actalent (New York, NY)
- …guidelines. + Overturn denied claims , uphold denials, and submit cases to the Medical Director for review. + Prepare case reviews for the Medical Director in ... Job Title: Medical Necessity Appeals and Denials FacilitatorJob Description This...involves maintaining a detailed and structured approach to appeals processing within a dynamic healthcare setting. Job Type &… more
- Walgreens (New Paltz, NY)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and ... prevent payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical … more
- Cardinal Health (Albany, NY)
- …Operations Management oversees the business and administrative operations of a medical practice. This position is responsible for reviewing the physician's daily ... schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also...any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively with all Revenue Cycle… more
- Walgreens (Henrietta, NY)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and ... prevent payment rejections. Follows- up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical … more
- Robert Half Finance & Accounting (Farmingdale, NY)
- …areas such as: + Title underwriting + Title examination + Escrow coordination + Claims and settlement processing + Compliance and regulatory affairs + Customer ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
- CVS Health (Albany, NY)
- … processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. + Consults cross-functionally with other ... processes, and responsibilities. **Required Qualifications** + 2+ years of health insurance work experience and/or Healthcare Insurance Quality Review +… more
- WTW (New York, NY)
- …will have a strong academic background and experience working in the (re) insurance industry evaluating and adjusting catastrophe models. **Key responsibilities** : + ... Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial… more
- CDPHP (Latham, NY)
- …review health care delivery against established criteria required. + Understanding of coding/ claims processing is preferred. + Ability to communicate effectively ... and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people,… more
- Cardinal Health (Albany, NY)
- …Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series ... reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization… more
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