- Catholic Health (Buffalo, NY)
- …of charges. Performs follow-up on insurance company denials on a timely basis + Review of all claims for accuracy + Review and identify errors or issues with ... 5pm Summary: The position will support the clients and Medical Practices of HCSWNY, and responsibilities will include, but...billing and correct the issue for billing + Review and correct all response files from electronic submissions… more
- Bassett Healthcare (Milford, NY)
- …on annual in-service record. Maintains a thorough knowledge and understanding of insurance and local carrier's medical coverage policies as they relate ... other staff to adjust appointment schedules to Supervisor for review and approval before acting, as noted by Supervisor....time off, including company holidays, vacation, and sick time Medical , dental and vision insurance Life … more
- CRC Insurance Services, Inc. (New York, NY)
- …of contact for clients, attorneys and sales reps for commercial transactions. + Review title insurance products such as commitments, pro-formas, policies and ... by the division of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance , disability, accidental death and dismemberment,… more
- Citigroup (Queens, NY)
- …can offer, and ultimately help them achieve their goals. The Investments and Insurance Risk Assessment and Control Design Managing Director will be responsible for ... risks and designs effective mitigation plans working closely with end-to-end Investments and Insurance teams. This role will report to the Head of Wealth Controls… more
- Tompkins Community Bank (Batavia, NY)
- …NYS Property and Casualty Insurance License, preferred + Three years experience in insurance is preferred. Benefits + Medical + Dental + Vision + 401(k) ... maintaining small business accounts and relationships consistent with Tompkins Insurance strategies. To provide assistance to the CBU Team...up on overdue and suspense items. + Handle prompt review of all audits and arrange for any corrections… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …(in addition to Level I Qualifications) + Minimum 2-3 years of experience in medical management, utilization review and case management. + Knowledge of managed ... you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services… more
- Humana (Albany, NY)
- …put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work ... of the Medicare rules, Humana policies and medical necessity. The Medical Director's work includes computer based review of moderately complex to… more
- Bassett Healthcare (Cooperstown, NY)
- …offerings include: Paid time off, including company holidays, vacation, and sick time Medical , dental and vision insurance Life insurance and disability ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to… more
- Centene Corporation (New York, NY)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... as to individuals and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move... review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. +… more
- Humana (Albany, NY)
- …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of moderately complex… more