- City of New York (New York, NY)
- Job Description MUST BE PERMANET IN THE CIVIL SERVICE CLERICAL ASSOCIATE TITLE OR IF YOU ARE HIRED PROVISIONALLY AS A CLERICAL ASSOCIATE , YOU MUST TAKE AND PASS ... directly into WMS from PAM. Centralized Data Entry is recruiting for (1) Clerical Associate III to function as a PAM Data Entry Clerk, who will: - Review… more
- Humana (Albany, NY)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root cause… more
- Walgreens (New York, NY)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- PSEG Long Island (Hicksville, NY)
- …as the attention, camaraderie, and care for one another you might typically associate with a small business. Our focus on combatting climate change through clean ... and administration of contracts for various projects including: (a) managing change orders, claims and back charges; + (b) asserting warranty claims ; (c)… more
- Humana (Albany, NY)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes to ensure successful submission and reconciliation of encounter submissions… more
- Northwell Health (New Hyde Park, NY)
- …but considered related are not essential functions. Job Qualification + Associate 's Degree required, or equivalent combination of education and related experience. ... Correct Coding Initiative (NCCI) edits and their impact on claims + Ability to analyze large datasets (eg, ...claims + Ability to analyze large datasets (eg, claims data, denial trends) to identify patterns, root causes… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …proceedings. + Support the Risk Manager in tracking insurance-covered litigation matters. File claims with insurance companies for claims and lawsuits as needed. ... EDUCATION EXPERIENCE + Bachelor's Degree from and accredited college or university or: Associate Degree plus 5 years of direct paralegal experience or; High School… more
- Compass Group, North America (Brooklyn, NY)
- …Office Risk Management team in responding to or managing any safety and claims issues* Working with operations and culinary teams to ensure the timely completion ... of team members, foodborne illness, liquor liability and guest claims * Work with local OSHA, sanitation or Everclean inspectors...high interest savings both through the EVEN app + Associate Shopping Program + Health and Wellness Program +… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
- Humana (Albany, NY)
- …The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments ... skills to make an impact** **Required Qualifications** + 5+ years of claims operations related experience + Experience with analyzing, reconciling and manipulating… more