- Racker (Ithaca, NY)
- …Generates reports to track utilization data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends and generates reports for ... of benefits-related data, including PPACA oversight. + Assists employees regarding benefits claim issues and plan changes. + Assists with distributing all benefits… more
- Cognizant (Albany, NY)
- …Sales Cloud and Claim Vantage . Nice to have Skills : Claims vantage, SQL or Snowflake **Salary and Other Compensation:** Applications will be accepted until ... 12/05/2025. The annual salary for this position is between $ 80,000- $ 130,000 depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant's discretionary annual incentive program, based on… more
- City of New York (New York, NY)
- …to oversee the timely planning, preparation, processing and submission of NYCDOT's claim reimbursement requests to the New York State Department of Transportation ... (PS) and Other Than Personnel Services (OTPS) expenses related to the reimbursement claims incurred in the DOTs expense budget. - Become proficient in the use… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with MTM, Corporate Service strategy, NCQA, ... First Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other complex… more
- New York State Civil Service (Albany, NY)
- …validate all contractor-submitted data for accuracy and completeness.* Review and vet claims prior to the issuance of each DAR/FAR to prevent intra-agency ... decision-making.* Utilize Access, Excel, and SQL Developer to analyze and verify claim data in monthly data feeds, OMIG projects, and contractor audits.* Assist… more
- SUNY Morrisville (Syracuse, NY)
- …Teach core topics including: + Medical terminology and anatomy + Insurance claims processing + Coding systems (ICD-10-CM, CPT, HCPCS) + Electronic Health Records ... (EHR) and claim submission + Compliance, HIPAA, and fraud prevention + Reimbursement methodologies and payer systems Prepare students for the AMBA CMRS certification… more
- Protective Industrial Products (Latham, NY)
- …review and research chargebacks. Responsible for filing and tracking freight claims . Collect and analyze required documentation (bills of lading, delivery receipts, ... inspection reports, photos, invoices, etc.) to support timely claim resolution. + All other duties as assigned. CORE SKILLS/COMPETENCY REQUIREMENTS + Minimum of 3… more
- Trinity Health (Albany, NY)
- …on competencies and quality of work. + Leads oversight of appeals denied claims for elated services, drugs, treatments and supplies. + Obtains and ensures timely ... decision with care team and obtains additional required documentation to ensure claim is paid. + Identifies opportunities and participates in optimization of EHR… 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
- Highmark Health (Albany, NY)
- …with AHN or other community providers and providing assistance with resolving claim or billing issues.Educate members about access to comprehensiveclinical care and ... department (including but not limited to Product Management, membership, claims , eMarketing, etc.). Identify any opportunities for process improvements.Success will… more