- MVP Health Care (Schenectady, NY)
- …working in the medical community (medical office, medical records, medical billing), claims processing, health care or health insurance required. + Ability to meet ... our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims /Operations** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** **Hiring Max… more
- Truecare Homecare Agency (Brooklyn, NY)
- …all documentation to centralized location + Participate in data retrieval for claims appeals and requests for payment + Liaison between the insurance companies ... phone/fax management skills, computer documentation of codes and information for claims Required Qualifications: + High School Graduate/ GED equivalent +… more
- Evolent (Albany, NY)
- …Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost drivers, utilization ... times, PMPM, trend drivers), with a working knowledge of healthcare claims and reimbursement methodologies. + Experience presenting actionable business insights to… more
- Walgreens (Baldwinsville, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Robert Half Office Team (White Plains, NY)
- …documentation and compliance with federal guidelines. * Oversee Worker's Compensation claims related to job-related injuries or illnesses. * Verify and maintain ... in managing employee leave requests under FMLA and handling Worker's Compensation claims . * Familiarity with HRIS systems and ability to maintain accurate employee… more
- WSP USA (New York, NY)
- …and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate action. + ... Compile contract and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in the performance of the above… more
- Humana (Albany, NY)
- …**Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, ... Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience in a… more
- Intermountain Health (Albany, NY)
- …**Qualifications** **Required** + Demonstrated experience in Revenue Cycle medical claims management + Demonstrates exceptional organizational skills. + Demonstrates ... + Epic systems experience + Five (5) years of experience in medical billing/ claims follow up **Physical Requirements** + Manual dexterity of hands and fingers to… more
- Deloitte (New York, NY)
- …and contribute to the formulation and critique of damages theories, claims , or conclusions. + Help prepare client presentations, reports, and deliverables ... on projects including accounting and fraud investigations, false claims act cases, and complex business litigation. + Demonstrate adaptability, attention to detail,… more
- PSEG Long Island (Hicksville, NY)
- …various information technology projects being undertaken including Managing change orders claims and back charges Asserting warranty claims Developing methods ... for assessing contractor performance Dispute resolution and implementing the appropriate processes and controls for protecting and preserving the Companys contractual rights and remedies For new contracts this position will be responsible for planning… more