- Health Direct (Syracuse, NY)
- …Degree or Higher in Business Administration or related field Experience: Preferred: Hospital, Long - term Care or Retail pharmacy experience strongly preferred ... entering the medication orders for various facilities. Ensuring that all Third-Party claims are billed properly. Job Duties: Provides customer service and problem… more
- 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
- 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
- AON (NY)
- …and local paid sick leave laws, short- term disability and optional long - term disability, health savings account, health care and dependent care ... to assigned service person + Stay informed of all claims or service issues and become involved in resolution...laws, short- term disability and optional long - term disability, health savings account, health care … more
- BrightPath Early Learning & Child Care (West Seneca, NY)
- …a company match - this is free money! * We will support your long - term career goals by offering opportunities for professional development and tuition ... to represent the organization while providing evidence to support claims . * All other duties as assigned. Top Reasons...BrightPath Kids USA: * We offer a 60% child care discount to ALL employees so that your family… more
- Molina Healthcare (Syracuse, NY)
- …issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape ... and claims payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of… more
- AON (NY)
- …and local paid sick leave laws, short- term disability and optional long - term disability, health savings account, health care and dependent care ... decision-makers. + Work closely with product, marketing, operations, and claims teams to ensure integrated service delivery. Be the...laws, short- term disability and optional long - term disability, health savings account, health care … more
- AON (NY)
- …and local paid sick leave laws, short- term disability and optional long - term disability, health savings account, health care and dependent care ... customer value, and profitability. + Leverage data to analyze claims trends and product performance to inform product and...laws, short- term disability and optional long - term disability, health savings account, health care … more
- Humana (Albany, NY)
- …financial, and market trends to forecast the organization's short, medium and long - term financial and competitive position. Works on problems of diverse ... help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of...holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability, life… 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 leverage carriers effectively. + Engage the Aon FSG claims and legal advocacy group for claim administration and...laws, short- term disability and optional long - term disability, health savings account, health care … 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 ... binders and policy documentation. + Ensure client, marketing and claims files are maintained in a timely fashion. +...laws, short- term disability and optional long - term disability, health savings account, health care … 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 ... duties + Review and clearing audits and adjustments + Claims review and analysis + Assist team as needed,...laws, short- term disability and optional long - term disability, health savings account, health care … 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 ... and local paid sick leave laws, short- term disability and optional long - term disability, health savings account, health care and dependent care … more
