- NYU Rory Meyers College of Nursing (New York, NY)
- …compliance and monitoring assessments to identify exceptions to establish claims adjudication requirements for pre-EOB and after posting of payments. Prepare ... an Academic Dental Center, major dental group practice or Claims Adjudication area of an Insurance Carrier.Required Skills, Knowledge and Abilities:Effective… more
- NYU Rory Meyers College of Nursing (New York, NY)
- Position Summary Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial ... standards, providing guidance and direction relating to the performance of claims adjudication process. Train staff and administrators to support their adherence to… more
- Department of Defense Education Activity (West Point, NY)
- …If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the ... USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA… more
- Amgen (New York, NY)
- …in the healthcare industry, including insurance verification, claim adjudication , physician's offices or clinics, pharmacies, and/or pharmaceutical manufacturers ... Experience in the healthcare industry, including insurance verification, claim adjudication , physician's offices or clinics, pharmacies, and/or pharmaceutical manufacturers… more
- CVS Health (Albany, NY)
- …Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for… more
- City of New York (New York, NY)
- …Finance Business Centers, City Register's Office, and the Land Records, Adjudication , and Collections divisions. Customer Operations is charged with the processing ... and excise taxes, parking fines, and Environmental Control Board summonses. The Adjudication Division is responsible for conducting hearings on all parking and… more
- Sedgwick (Albany, NY)
- …claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims in the teams including ... office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and takes… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …scope of work and terms, negotiate fees, and manage contracts for adjudication services. Oversee the University's database system to ensure accurate tracking of ... outcomes, and related data, including policy interpretations reflected in adjudication decisions. Assist in providing policy interpretation and recommendations to… more
- City of New York (New York, NY)
- …of cases and the timely dissemination of decisions and other post adjudication correspondence - Maintaining procedures, including databases or other systems, to ... - Establishing cooperative communication with and acting as liaison to the Adjudication Division - Interpreting rules and agency standards and policies to staff… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …and training employees **Job Summary:** Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment. ... **Responsibilities** **Job Duties:** + Responsible for monitoring adjudication queue(s) + Responsible for contacting members and prescribers on non-covered items +… more