- WMCHealth (Valhalla, NY)
- …for specialty medications, tracking expiring authorizations and renewals + Review claims and rejections to determine required follow-up, ensuring timely resolution ... continuity of care + Manage daily billing operations, including submission of claims and coordination with prior authorization technicians as needed + Process… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + Associates Degree or high school diploma/GED ... + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a...accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims , and writes appeal… more
- CVS Health (Albany, NY)
- …opportunities, and quantitative evaluation of clinical program outcomes using Rx and medical claims data. You will champion the value of the Product to CVS by ... optimize clinical program outcomes for members and clients, using claims and other program outcomes data + Championing the...care management programs and familiarity with Rx and medical claims + High attention to detail and ability to… more
- Molina Healthcare (Albany, NY)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- MTA (New York, NY)
- …strategy to drafting, soliciting and procuring, negotiating and awarding, and claims and change management. Develop strategic and consistent contracts and ... vendors in all contracts. Advises Delivery department leaders on contract enforcement, claims management, and merit determinations. Manages the claims process,… more
- AIG (New York, NY)
- …with primary responsibility for operational controlling as it relates to insurance claims disbursements, in close coordination with AIG's global claims function ... of activity. Key Responsibilities: * Driving the timely clearance of insurance claims disbursements through subledgers, ensuring cash is applied properly against … more
- MTA (Brooklyn, NY)
- …Authority, which includes the New York State Department of Labor claims processing, hearings, appeals, adjournments, remands and quarterly audits. Position will ... and efficiently in compliance with mandated deadlines. Review UI claims before submission to the DOL and also review...before submission to the DOL and also review NF claims before submission to various insurance companies. Serves as… more
- Zurich NA (New York, NY)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support area OR AVP Complex Property...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Zurich NA (Syracuse, NY)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s...and 10 or more years of experience in the Claims or Underwriting Support area + OR + Zurich… more
- New York State Civil Service (New York, NY)
- …at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Claims Bureau in New York City is seeking an experienced trial attorney ... for the Torts Section. The Claims Bureau is a trial bureau that represents the...New York and its agencies in the Court of Claims and its employees in New York State Supreme… more