- Lincoln Financial (Albany, NY)
- …**Requisition #:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be responsible for answering claimants… more
- MVP Health Care (Schenectady, NY)
- Commercial Claims Processing Associate , Claims ...Req #2572 Friday, June 20, 2025 At MVP Health Care , we're on a mission to create a healthier ... improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is the opportunity...+ An opportunity to shape the future of health care by joining a team recognized as a **Best… more
- MVP Health Care (Schenectady, NY)
- Leader, Claims Support Headquarters Office, 625 State Street, Schenectady, New York, United States of America * Rochester Office, 20 S. Clinton Ave, Rochester, New ... Req #2641 Friday, June 13, 2025 At MVP Health Care , we're on a mission to create a healthier...improvement. To achieve this, we're looking for a Leader, Claims Support to join #TeamMVP. If you have a… more
- Carrington (Albany, NY)
- …processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines ... and changing priorities. **What you'll need:** + High School diploma required; Associate /Bachelor Degree in accounting or other related field preferred. + Two (2)… more
- CVS Health (Albany, NY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... Eastern Standard Time (EST). Help us elevate our member care to a whole new level! Join our Aetna...advocate for themselves. The TOC team will review prior claims to address potential impact on current case management… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical well-being. ... **About This Role** We are seeking a strategic, entrepreneurial Associate Director to drive the evolution of OPH's connected...solutions that enhance peoples' lives, we also work to care for our teammates' professional and personal growth and… more
- Intermountain Health (Albany, NY)
- **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains ... detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation. Responsible for… more
- Travelers Insurance Company (Albany, NY)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Evolent (Albany, NY)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Senior Registration Associate - Full-time - Albany, NY - FT** If you are looking for an ... your opportunity! Here at St. Peter's Health Partner's, we care for more people in more places. This position...Office Hours **What you will do:** The Senior Registration Associate is responsible for performing and overall coordination of… more
- Trinity Health (Clifton Park, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Sr Registration Associate - Clifton Park - FT/DAY** If you are looking for an administrative ... your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position...Mon-Fri 8:00-4:30pm **What you will do:** The Senior Registration Associate is responsible for performing and overall coordination of… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Sr Registration Associate - Albany, NY - FT/DAY-** **Endocrinology** If you are looking for an ... full-time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position is located at 63 Shaker… more
- Walgreens (Amsterdam, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Molina Healthcare (Albany, NY)
- …and regulatory requirements, while meeting production goals. * Communicates with health care providers to clarify questions and request any missing information. * ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. *… more
- Intermountain Health (Albany, NY)
- **Job Description:** Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account ... + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB)...hourly rate dependent upon experience. $18.81 - $26.65 We care about your well-being - mind, body, and spirit… more
- Trinity Health (Schenectady, NY)
- …Type:** Full time **Shift:** Day Shift **Description:** **Accounts Payable/Accountant - Eddy Senior Care - Troy, NY - FT Days** Narrative: Located at 433 River ... position is responsible for reviewing coding and approving all claims /invoices in the accounts payable system. + Works with...Payable. Eddy Seniorcare is a NYS program for all-inclusive care for the elderly that serves participants in the… more
- Highmark Health (Albany, NY)
- …is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The incumbent ... services and charges; will monitor internal referrals from sources such as claims , customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert… more
- University of Rochester (Albany, NY)
- …open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits ... claims , submits appeals and takes timely and routine action...Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + Associate 's degree and 2 years of relevant experience required… more
- Humana (Albany, NY)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... 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
- University of Rochester (Albany, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… more