- City of New York (New York, NY)
- …requirements to the agency's construction and design divisions; 5) perform litigation support activities and commercial claims analysis for matters pending with ... the NYC Law Department and the NYC Comptroller's Office; 6) review agency responses to the public pursuant to the Freedom of Information Law ("FOIL") and coordinate agency responses to the public in coordination with the agency's public relations office; 7)… more
- BronxCare Health System (Bronx, NY)
- …data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality ... Improvement (CQI) teams, consistent adherence to the specific rules and regulations of The Dr. Martin Luther King, Jr. Health Center (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and… more
- City of New York (New York, NY)
- …insurance billing specialist, you will perform health insurance billing activities and support functions including claim review, claim submission, follow ... NYC uninsured and under insured residents. Reporting to the Assistant Director of Patient Billing by working alongside a...requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for employee development and promotional opportunities. All Levels + LPN, Medical Assistant , Health Plan customer service or claims processor experience with ... specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization Management, Behavioral… more
- Molina Healthcare (Buffalo, NY)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... agencies to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate… more
- City of New York (New York, NY)
- …DOHMH submitted claims after state approval. Reconcile and submit consolidated claim reports (CCR) to state agencies as needed. Ensure all monthly, quarterly, ... Position Summary: The Revenue Analyst will report to the Assistant Director of State Aide Claiming along with three...BE LIMITED TO: Responsible for the agency's Article 6 claim submissions to state. Learn and understand Public Health… more
- City of New York (New York, NY)
- …DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the Assistant Director and be responsible for the monitoring and tracking of Mental ... contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates....provider consolidated fiscal reports (CFR) Reconcile and submit consolidated claim reports (CCR) to state agencies as needed. -… more
- Molina Healthcare (Buffalo, NY)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider...in health care (ie, certified coder, billing, or medical assistant ). To all current Molina employees: If you are… more
- Oak Orchard Health (Brockport, NY)
- …reason for our success, from physicians to nurses to administrators and support personnel. If you're passionate about serving all with excellence, equity, inclusion, ... + Retirement Plan 403(b) with a competitive company match + Organizational support of continuing education and professional development! + Company paid life… more
- University of Rochester (Rochester, NY)
- …complex secretarial and administrative duties in a fast-paced environment in support of clinical, educational, and academic programs. Responsible for all clinic ... provider patient schedule, coordination of patient care and information/data support . SUPERVISION AND DIRECTION RECEIVED: Receives minimal direction from physician,… more
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