- Brighton Health Plan Solutions, LLC (Melville, NY)
- …physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. This job description ... is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities, and activities may change, or new ones may be assigned at any time with or without notice. Primary Responsibilities * Listen attentively to customer needs… more
- Robert Half Legal (New York, NY)
- …litigation cases, including motor vehicle accidents, premises liability, and general negligence claims . The ideal candidate will bring a proven track record in ... records. * Deliver world-class service to clients while striving to maximize claim resolutions. Requirements * Law degree from an accredited institution and active… more
- Independent Health (Buffalo, NY)
- …Research and respond to escalated and complex provider and member inquiries, including claim and billing research requests. + Provide written and verbal response to ... as needed; effectively resolve written inquiries from customers regarding claims , benefits, eligibility, reimbursement and participating providers. + Knowledge of… more
- Sunrise Senior Living (Glen Cove, NY)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... and convey information and ideas through a variety of messages that engages the audience. + Champion the team member on-boarding and welcome orientation process, maintain personnel files and binders according to applicable federal, state, local laws and… more
- Albany Medical Center (Albany, NY)
- …billing practices by reviewing patient records, medication orders, and insurance claims to identify and correct potential pharmaceutical billing errors. They are ... champions to optimize pharmacy charging workflows and to decrease medication-related claim denials due to pharmaceutical charge errors. They will participate in… more
- Research Foundation CUNY (New York, NY)
- …regents exams. Science regents will now test students' ability to incorporate claim evidence reasoning, reading comprehension, and analysis of diagrams and models to ... relates to society. Topics will cover understanding scientific evidence, evaluating claims , and applying scientific knowledge to real-world situations- all important… more
- City of New York (New York, NY)
- …records in the MAESTRO and City/State databases are accurately calculated, that claims are solely processed for injury-related Medicaid expenses paid for by NYC, ... and that all claim forms and necessary documents are correct and complete in the record - Audit workspace/queue of cases processed by Medicaid Settlement Unit staff… more
- City of New York (New York, NY)
- …or EAF funding for the services provided, including counseling and legal services; Burial Claim manual case reviews to determine if the family meets the criteria for ... audit findings with an objective for maximizing potential Federal and State reimbursement claims . - Discuss critical issues with supervisor and staff and suggest new… more
- City of New York (New York, NY)
- …regulations concerning employees' salary history in order to accurately process compensation claims and verify the entry of payment dispositions for active and ... in court hearings, prepares all documentation necessary to support the agency's overpayment claim , and work on other Payroll Operations tasks and projects as needed.… more
- City of New York (New York, NY)
- …Private, and intra-city award budgets, expenses, invoice/drawdown submissions, claim verifications, booking/realizing receivables, and annual/final Federal Financial ... systems and tools to support public health research and analysis to ensure claims submitted to the Grantors are accurate and timely. - Assist in coordinating… more