- CVS Health (Albany, NY)
- …every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit Specialists have the opportunity ... use multiple systems and screens to obtain and record claim information - Review claims information to...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Travelers Insurance Company (Albany, NY)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- Molina Healthcare (Albany, NY)
- …7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Molina Healthcare (Albany, NY)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing ... overpayment notification and supporting documentation such as explanation of benefits , claims and attachments. + Maintains and...claims as a refund or auto debit in claim systems and in recovery application meeting expected production… more
- Zurich NA (Albany, NY)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... Basic Qualifications: + Bachelor's Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor and 2 or more years of… more
- Kelly Services (Menands, NY)
- Claims Specialist Location: Menands, NY (Onsite) Company: Local non-profit organization Schedule: Mon-Fri, 9am-5pm Pay Rate: $24/hour to start A local nonprofit ... is seeking a skilled and detail-oriented Insurance and Claims Specialist to support a public health...those who work with us through a variety of benefits , perks, and work-related resources. Kelly offers eligible employees… more
- Allied Universal (Albany, NY)
- …a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance ... Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection...Claims (AIC) + Chartered Property Casualty Underwriter (CPCU) ** BENEFITS :** + Medical, dental, vision, basic life, AD&D, and… more
- Sedgwick (Albany, NY)
- …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS) (Multiple Positions), Box ... Department (NYSED) is seeking candidates for multiple Education Finance Specialist 1 positions in the Office of State Aid...perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use… more
- Molina Healthcare (Albany, NY)
- … claims production standards set by the department. * Applies contract language, benefits and review of covered services to claims review process. * Contacts ... and prepares written response to incoming provider reconsideration requests related to claims payment, requests for claim adjustments, and/or requests from… more
- The Wesley Community (Saratoga Springs, NY)
- …USA | Hourly | 20-22.52 per hour | Full Time Day | Robust and comprehensive benefits package! A/R Medical Billing Specialist Full Time | Days | 8am - 4:30pm ... We are seeking an experienced Billing Specialist professional who loves what they do! Everything we...Job Duties: + Responsible for timely and accurate insurance claim submissions for all payer types. + Monitor and… more
- Sedgwick (Albany, NY)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research,...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- Molina Healthcare (Albany, NY)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and… more
- Molina Healthcare (Albany, NY)
- … claims production standards set by the department. * Applies contract language, benefits and review of covered services to claims review process. * Contacts ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- Teresian House (Albany, NY)
- …Teresian House in your choice for employment! The Nursing Home Billing Specialist is responsible for: + Timely insurance verification of all referrals for ... Care Organizations (MCO's) and private insurance. + Preparing and submitting claims , resolving billing issues, managing accounts receivable, and working with… more
- Zurich NA (Albany, NY)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... to work for a globally recognized company known for its excellent benefits , flexible work arrangements, commitment to work/life balance, and outstanding culture. As… more
- CDM Smith (Albany, NY)
- …ID:** 40480BR **Business Unit:** FSU **Job Description:** The Disaster Engineering Specialist : * Conducts site inspections to validate and record infrastructure ... engineering reports, designs, and as-built plans. * Makes recommendations regarding claim eligibility. Develops or evaluates hazard mitigation proposals and … more
- Saratoga Hospital (Saratoga Springs, NY)
- HIS Denials Specialist (Inpatient) Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: 8a-4p ... the Role We're looking for a dedicated HIS Denials Specialist to join our team and help us continue...determine appropriate appeal/response to the denial notification to resolve claim . + Tracks denied and overturned accounts, compiling routine… more
- Albany Medical Center (Albany, NY)
- …Salary Range: $71,612.39 - $110,999.20 The Clinical Technical Specialist is a technologist (clinical laboratory/cytology/histology) and performs procedures/tests ... independent judgement and responsibility with minimal supervision. The Technical Specialist has expertise in laboratory medicine in the specialty/subspecialty area… more
- Elevance Health (Latham, NY)
- **FEP Performance Specialist ** **Location** : This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... together we will drive the future of health care. The **FEP Performance Specialist ** is responsible for providing subject matter expertise for a variety of Federal… more