- Highmark Health (Albany, NY)
- …Epic modules. **Preferred** + 2+ years of Healthcare Revenue Cycle experience ( Claims , Patient Access, Billing) + Epic Certification in Resolute Hospital Billing ... **SKILLS** + Ability to handle analysis, design, system configuration and testing tasks at basic to moderate levels of complexity + Excellent customer service skills + Uses critical thinking skills for assigned tasks + Highly effective written and verbal… more
- CP Unlimited (Hudson, NY)
- …the code of business conduct, the NYS and federal false claims act, whistleblower protection and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. Completes all mandatory training within the timeframe specified more
- RWE Clean Energy (Valhalla, NY)
- …a team setting + Oversee Residential Business Workmanship warranty and production claims + Negotiate with subcontractors or EPCs as appropriate **Job Requirements ... and Experiences:** + Undergraduate Degree in Construction Management, Engineering, Business or related field + Project Management PMP certification preferred + A minimum of twelve (12) years of direct experience in Solar and Battery Storage project delivery,… more
- CDPHP (Latham, NY)
- …(2) years Utilization Management experience is preferred. + Knowledge of coding/ claims processing is preferred. + Experience working with Microsoft Office, including ... Outlook, Word and Excel, and other databases required. + Demonstrated ability to pro-actively identify problems and recommend solutions. + Demonstrated ability to stay organized and work effectively within strict deadlines. + Demonstrated ability to build… more
- iPostal1 (Montebello, NY)
- …mail centers, vendors, and internal teams to resolve service-related concerns. + Handling claims and escalations related to lost, delayed, or undelivered items. + As ... business needs evolve, additional specialized tasks and operational responsibilities may be assigned. Customer Support & Operational Efficiency: + Efficiently handle customer inquiries and process service requests related to the above programs. + Work closely… more
- The Robison Group (Brooklyn, NY)
- …such as auto and property theft, fire damages, auto accidents, commercial claims , finding missing persons, courthouse searches, and other investigative tasks. For ... this position, you will also need to be fluent in writing, reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will be joining an incredible team of… more
- UHS (Johnson City, NY)
- …with state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and ... complete patient medication records, ensuring confidentiality and compliance with HIPAA + Oversee the day-to-day operations of the retail pharmacy, including inventory management, ordering, and storage of pharmaceuticals + Ensure compliance with all federal,… more
- Constructive Partnerships Unlimited (Brooklyn, 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
- Warner Music Group (New York, NY)
- …perform reconciliations, update cash forecasts and budgets, investigate audit issues and claims , perform tasks as part of the overall close process (includes ... accruals & true ups to expense, balance sheet transfers & reclasses, recoupments, participation, P&D and merch liabilities, and journal entries) + Follow department financial controls and policies, communicate deficiencies and gaps to management + Maintain… more
- Healthfirst (Enfield, NY)
- …of questions and issues on topics such as eligibility, benefits, claims process, escalations, and products** + **Manage face-to-face encounters by interacting ... with customers to provide information in response to inquiries about products and services, improve overall member experience, and reduce waiting time to expedite traffic flow** + **Identify and de-escalate situations where member//provider is dissatisfied and… more
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