- Power-Flo Technologies (New Hyde Park, NY)
- …Follow-up with contractors and internal teams + Manage freight damage claims Switchgear Quotations Specialist and Project Coordinator Qualifications + Sales ... oriented, self-starter who is willing and eager to gain product and service knowledge + Aptitude for learning + Strong customer service skills + Ability to negotiate, solve problems, and close with customers + Strong verbal and written communication skills,… more
- The Salvation Army (Elmira, NY)
- …+ Assisting with the filing of NYS Office of Victim Services compensation claims including making victims aware of the availability of the program + Maintain ... case records and summary logs. Complete reports as directed. + Follow and enforce established policy and procedures with the residents of the shelter. + Fulfilling the mandated NYS requirements by reporting suspected child abuse and neglect and provide… more
- Molina Healthcare (Syracuse, NY)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing ... Monitoring/Watch Follow-up * Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes assigned daily alerts for federal/state and license sanctions and exclusions… more
- Molina Healthcare (NY)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of SQL ... 2005/2008 SSRS and Power BI report development + Familiar with relational database concepts, and SDLC concepts **Preferred Education** + Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. + Preferred… more
- University of Rochester (Albany, NY)
- …coding guidelines. + Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction ... and follow-up. + Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed. + Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to… more
- Molina Healthcare (Buffalo, NY)
- …**I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a managed ... care or healthcare environment. + Strong verbal and written communication skills. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive… more
- Zurich NA (New York, NY)
- …internships between May and September in areas such as Actuarial, Claims , Corporate Communications, Finance, Human Resources IT, Marketing, Operations, Predictive ... Analytics and Underwriting. Zurich interns enjoy competitive pay, paid time off and 401(k) contributions, while adding solid credentials from a renowned global insurance organization to their resumes. Our well-structured internship program provides… more
- Astor Services (Poughkeepsie, NY)
- …budgetary goals for each clinic. Implements effective controls and regular monitors claims remittance, denial and write off metrics to assess clinic financial ... performance. Works with clinic management to improve revenue performance within each . Assists in the development of clinical materials, manuals, presentations and other documents to improve clinic operations and clinician performance. In concert with training… more
- CVS Health (Albany, NY)
- …members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. ... Focus assessments and/or questionnaires are designed to use a holistic approach to identify the need for a referral to clinical resources for assistance in functionality. Additional responsibilities to include but not limited to the following: - Responsible… more
- Tutor Perini (Ozone Park, NY)
- …considerations, including revenue recognition, accounting for unapproved change orders and claims , and other relevant GAAP standards. + Provide critical financial ... and operational information to executive management and make actionable recommendations to improve financial results. + Participate in special projects and ad hoc requests. **Required Skills:** + BA degree in Finance or Accounting is required, CPA preferred. +… more