- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
- Intermountain Health (Albany, NY)
- …payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance ... procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any...additional items received from insurance to patient accounts + Research and follow-up on missing information, such as EOB… more
- University of Rochester (Albany, NY)
- …expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for ... routine action to resolve unpaid claims . The Claims Resolution Representative III reports...(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims ,… more
- Molina Healthcare (Albany, NY)
- …member/provider impact and engagement including: Appeals and Grievances, Problem Research and Resolution , and the development/maintenance of Member/Provider ... of the call/ issue and following it through to resolution , on behalf of the customer, in real time...wide variety of inquiries and assistance involving their benefits, claims , premiums, and other areas including very complex issues.… more
- New York State Civil Service (Albany, NY)
- …A Hearing Officer will engage in various levels of dispute resolution and will preside over administrative hearings, mediations and/or compliance conferences. ... prescribed by applicable statute.3. Analyzes data to discover facts in case. Research laws, regulations, policies, and precedent decisions to prepare for hearings… more