- 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
- 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
- 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
- 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