- CDPHP (Latham, NY)
- …information required. + Chronic Conditions knowledge preferred. + Experience in claims adjudication, billing and enrollment systems, product or pricing is preferred. ... + Experience with Microsoft Office, including Word, Excel, Outlook and PowerPoint is required. + Experience with Clinical Documentation Improvement preferred. + Demonstrated knowledge of medical record review and diagnosis coding within the health insurance… more
- AECOM (New York, NY)
- …Work with management and staff to resolve pre-litigation disputes and potential claims + Supervise and manage litigation, including professional liability, breach of ... contract, and personal injury/wrongful death matters, utilizing outside counsel retained by the company to maximize quality and cost-effectiveness + Manage external counsel and litigation budgets + Handle subpoenas, document requests, and other litigation… more
- Cardinal Health (Albany, NY)
- …patient medical records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs, the registration process ... and charge entry. + Supports the overall workplan of the Compliance Department. + Other duties as assigned. **_Qualifications_** + 8-12 years of experience, preferred + Bachelor's degree in related field, or equivalent work experience, preferred* Bachelor's… more
- The Walt Disney Company (New York, NY)
- …and/or witness testimony. + Researching and resolving copyright and other claims and/or other inquiries regarding news materials, as necessary. + Providing ... vacation coverage for other lawyers in the group, which may involve working on nights or weekends. + Interpreting existing group and ABC News policies and supporting the objectives articulated by higher level lawyers in the group and the Disney Legal… more
- Army National Guard Units (Latham, NY)
- …must provide OFFICIAL transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof ... that you meet the Education requirements for this position. Additional Information If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires… more
- Brink's (Syracuse, NY)
- …to lift at least 50 pounds Preferred Qualifications: + 5+ years operations and claims experience + Previous experience in a cash handling experience in the secure ... logistics or banking industry + Experience in a coin processing environment + Knowledge of lean/process improvement methodologies + Knowledge of budgeting and planning experience + Bachelor's Degree or equivalent level of experience Professional Skills: +… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …+ Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability services for timely ... return to work. + Provides case management, utilization review, continued stay reviews, and based on clinical judgment and state WCB Medical Treatment Guidelines. + Knowledgeable and compliant with New York State Workers' Compensation Law, Medical Treatment… more
- Humana (Albany, NY)
- …either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's ... offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Mohawk Valley Health System (Utica, NY)
- …and uses them as a contact when necessary to resolve outstanding issue on claims . + Determines whether payment from insurance billed is accurate, based on DRG, ... Contracted Rate, Per Diem, or Fee Schedule. Initiates an adjustment, if necessary, to bring account to the correct balance. Demonstrates thorough knowledge of rates for specific payor responsibility and advises management of any trends regarding inappropriate… more
- The Arc Mid-Hudson (Lake Katrine, NY)
- …as the primary liaison with the agency's insurance provider, coordinating accident claims and communications with adjusters, repair shops, and body shops as needed. ... + Will lead the accident review committee in coordination with safety risk management. + Will investigate reports from the public of safety hazards or problems with the transport of the people served by The Arc Mid-Hudson and will make appropriate reports… more