- 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
- Molina Healthcare (Rochester, 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
- TEKsystems (Rochester, NY)
- Description Ensure full reimbursement is received for clinical services rendered including professional, long - term /home care and hospital care , by ... accurately managing a receivable. Resolve edits to ensure accurate claims are sent to primary and secondary insurances. Research...AD&D for the employee and dependents) * Short and long - term disability * Health Spending Account (HSA)… more
- University of Rochester (Brighton, NY)
- …Medical Center (Medical Center) and its health care affiliates, including hospitals, long term care facilities, home health agencies, providers, and ... Counsel identifies, analyzes and provides legal guidance and services on complex health care regulatory and corporate matters relevant to the University of Rochester… 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 ... PPE and safe work practices. Be knowledgeable of vendor/contractor safety standards, claims reporting, property loss prevention and refer teams to Risk Management… more
- KPH Healthcare Services, Inc. (Rochester, NY)
- …or Higher in Business Administration or related field **Experience:** + Preferred: Hospital, Long - term Care or Retail pharmacy experience strongly preferred ... the medication orders for various facilities. Ensuring that all Third-Party claims are billed properly. **Responsibilities** **Job Duties:** + Provides customer… more
- KPH Healthcare Services, Inc. (Rochester, NY)
- …in Business Administration or related field **Experience:** + 2 years' experience as a Long - Term Care Pharmacy Order Entry Technician required + Previously ... entering the medication orders for various facilities. Ensuring that all Third-Party claims are billed properly. Assist fellow technicians with training and daily… 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