- Excellus BlueCross BlueShield (Rochester, NY)
- …processing in the claims administration system. The incumbent processes and adjudicates Long - Term Care claims . Essential Accountabilities: Level I * ... transactional processing of nursing home, assisted living facility and home care claims . * Obtains telephone verification from LTC providers and maintains… more
- Humana (Albany, NY)
- …company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability, life insurance and many other ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …for cross-training and education, CPHL is the place for a fulfilling long - term career. Position Details: + Professionally handle incoming inquiries via ... or fax from providers (ie physician offices, clinics, social day cares, home care agencies, DME suppliers) regarding claim decision and payments across all Centers… more
- Elevance Health (New Hyde Park, NY)
- …/ or Mandarin are preferred. + Previous Medicare / Medicaid experience preferred. + Long - term care experience preferred. For candidates working in person or ... **Position Title:** Customer Care Representative I **Location: Virtual:** This role enables...a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock… more
- Mount Sinai Health System (New York, NY)
- …one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees working together to provide billions of ... dollars in high-quality care each year for millions of patients. We are...potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/ term life/ long - term care (many federal insurance programs ... Functions / Scope of Assigned Duties 1. Clinical Functions: Provide direct patient care full-time as a member of an expanded healthcare team using the PACT… more
- CP Unlimited (Fishkill, NY)
- Care Manager Type of Position Full time Search...to navigate systems and access services that sup- port long - term stability and recovery. + REQUIREMENTS : ... Location(s) Fishkill, NY Apply Now (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=45&rid=7002) Job Brief The Care Manager provides intensive case management for individuals with… more
- UHS (Johnson City, NY)
- …locally owned, not-for-profit healthcare system in New York's Southern Tier comprising four hospitals, long - term care and home care services, and ... laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access +...you can take time to recharge. We support your long - term wellness with a 403(b) retirement plan… more
- UHS (Walton, NY)
- …locally owned, not-for-profit healthcare system in New York's Southern Tier comprising four hospitals, long - term care and home care services, and ... laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access +...Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part… more
- AON (New York, NY)
- …and local paid sick leave laws, short- term disability and optional long - term disability, health savings account, health care and dependent care ... to requests and inquiries. + Prepare underwriting submissions and claims exhibits for clients. + Request and review insurerer...laws, short- term disability and optional long - term disability, health savings account, health care … more