- 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …bachelor's degree, an associate's degree or LPN with a minimum of two (2) years' experience in long term care claims adjudication and two (2) years ... of services as is deemed necessary. + Evaluates submitted claims to determine if services billed and provided are...long term care customer service. + Must have...long term care customer service. + Must have the ability to… more
- Conifer Realty LLC (Rochester, NY)
- …HSA, dependent care Flex account, dental, vision; company-paid life, short and long - term disability insurances; and a wellness program. The salary rage for ... business units and external stakeholders, and maintaining oversight of litigation and claims reporting for the organization. Position Details + Full-Time + Exempt +… more
- Molina Healthcare (Rochester, NY)
- …in the specific programs supported by the plan such as utilization review, medical claims review, long - term services and supports (LTSS), or other specific ... on denial decisions. * Resolves escalated complaints regarding utilization management and long - term services and supports (LTSS) issues. * Identifies and reports… more
- Rochester Regional Health (Rochester, NY)
- …Ensure full reimbursement is received by RRH for clinical services rendered including professional, long - term /home care and hospital care , by effectively ... and accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research and resolve denials and payer… more
- Conifer Realty LLC (Rochester, NY)
- …HSA, dependent care Flex account, dental, vision; company-paid life, short and long - term disability insurances; and a wellness program. The salary range for ... captive insurance company and Risk Management function, ensuring incident data, claims management, and loss control programs are fully integrated with security… more
- Conifer Realty LLC (Rochester, NY)
- …Asset Management on capital planning, physical needs assessments (PNAs), and long - term maintenance strategies. Operational Excellence + Implement and enforce ... HSA, dependent care Flex account, dental, vision; company-paid life, short and long - term disability insurances; and a wellness program. The pay range for… more
- Saint-Gobain (Albion, NY)
- …Short- Term Disability + Voluntary Employee and Dependent Insurance, Long - Term Disability, Critical Illness, and Accident Insurance **Additional Benefits ... WCM Projects and Programs. - + Manages Worker's Compensation programs including claims management and the return-to-work program, for assigned personnel. - +… more
- Conifer Realty LLC (Rochester, NY)
- …HSA, dependent care Flex account, dental, vision; company-paid life, short and long - term disability insurances; and a wellness program. The salary rage for ... counsel to develop litigation strategies and control legal spend +Evaluate claims , make recommendations regarding settlements and provide regular status updates to… more