- Arnot Health (Elmira, NY)
- …premiums due from the employee.* 11. Responsible for the filing of life insurance claims and assisting employees and/or beneficiaries. 12. Communicates with ... Is responsible for employee benefit and retirement administration to include medical , dental, vision, life insurance , short-and long-term disability, and… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …a wide range of DME products used in orthopedic practice. + Knowledge of medical insurance claims procedures and documentation. + Excellent communication, ... by a physician. Assists with the efficient operation of the Excelsior Durable Medical Equipment Program. Fits and educates patients regarding proper care and use of… more
- University of Rochester (Rochester, NY)
- …invited lectures and speaking engagements for the provider. - Researches hospital medical records for information requested by physicians, insurance companies ... computer, calculator, telephone, facsimile. Will use software for electronic medical record system, appointment scheduling system, and Operating Room scheduling… more
- Deloitte (Rochester, NY)
- …and business terms) with PBMS + Experience performing analytical analysis of medical & pharmacy claims , including understanding financial impact of network ... pharmacy landscape, including emerging trends and cost drivers + Work directly with medical and PBM vendors to analyze the program offering and cost management… more
- Highmark Health (Buffalo, NY)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... medical loss ratio reports, Medicare STARS gaps and other...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- MetLife (Oriskany, NY)
- …of cases; provides technical insight and advice. Reviews, records, and analyzes medical records and treatment plans data and compares duration control guidelines and ... a positive outcome Follows established claim policies and practices to resolve claims issues Performs other related duties as assigned or required. Essential… more
- Catholic Health (Buffalo, NY)
- …within the designated timeframe, (2) Appropriate levels of engagement with the insurance company, state or federal agency, or patient/resident to ensure timely ... payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or...operation of a computer + Specialized experience such as medical claim billing, long term care and/or infusion pharmacy… more
- University of Rochester (Rochester, NY)
- …payment. Makes independent decisions as to the processes necessary to collect denied insurance claims and resolve billing issues. Must track payer/billing issues ... companies and other third-party payers to obtain payments, research, and resubmit rejected claims to primary payers, obtain and verify insurance information. -… more
- New York State Civil Service (Endicott, 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
- 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