- University of Rochester (Rochester, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... productivity, and provider relationships across all departments. Additionally, the Assistant Coding Manager is responsible for ensuring proper training and supervision of assigned staff members, while implementing and upholding URMFG best practice standards.… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …the code of business conduct, the NYS and Federal False Claims Acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. more
- New York University (New York, NY)
- …is important but not required. Applicants with prior experience working with claims data and/or large datasets will be prioritized. Applicants are expected to ... be able to work collaboratively in an interdisciplinary environment and independently. Applicants should submit: 1) Cover letter; 2) Curriculum Vitae; and 3) Names and contact information of at three professional references. To access the application, please… more
- Highmark Health (Buffalo, NY)
- …to provide office based, hands-on assistance services (ie, chart reviews, mass claims adjustments, UDC processes, etc.) to PCPs enrolled in Medicare STARS, Medicaid ... HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess the needs of each individual PCP practice, and use a combination of on-site individual office based, entity level based,… more
- Constructive Partnerships Unlimited (Queens, NY)
- …the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. SUPERVISES: + Behavioral Intervention Specialists 1 + Behavioral Intervention Specialists 11 more
- Wavetronix (Albany, NY)
- …for profitability; and timely responding to customer concerns and warranty claims . + Develop and maintain a complete understanding of competitors, including ... sales teams, product offerings, and pricing. + Enroll in and actively participate in Wavetronix continuing education programs for personal and professional development. Beyond Year 1 + Manage and expand the customer base in the region + Identify requirements… more
- University of Rochester (Rochester, NY)
- …for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and drafts for provider signature. ... + Manages provider(s) documentation and information. + Composes and types of non-routine correspondence providing factual information. + Arranges travel, conference registration and hotel accommodations. + Interfaces with organizations, hospitals and others to… more
- KPH Healthcare Services, Inc. (Marcy, NY)
- …the medication orders for various facilities. Ensuring that all Third-Party claims are billed properly. **Responsibilities** **Job Duties:** + Provides customer ... service and problem resolution to assigned facilities + Responsible for accurate data entry of patient profiles and medications + Maintaining accurate information for patients and facilities + Responsible for billing and crediting each facility appropriately… more
- Constructive Partnerships Unlimited (Staten Island, NY)
- …the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all Corporate Compliance/Quality Management investigations and reviews. D. SUPERVISES Direct Care Staff (approximately seventy (70) staff) Shift Supervisor (approximately two (2) staff) more
- Robert Half Legal (New York, NY)
- …state and federal wage laws, including misclassification, overtime, and off-the-clock claims . * Utilize firm resources, including experts and litigation expenses, to ... aggressively pursue strong cases. * Contribute to a collaborative and high-performance work culture. Requirements * Minimum of 5 years of experience litigating wage and hour class and collective actions. * Proven ability to generate high-value case results,… more