- 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. ... Demonstrates integrity and respect in all interactions + Experience with Yardi preferred EDUCATION EXPERIENCE + Bachelor's Degree from and accredited college or… more
- MetLife (Oriskany, NY)
- …a related field or equivalent experience * 7-8 years of related disability claims administration experience Preferred : * Prior training or management experience ... quality and performance standards. * Evaluating and improving business and associate performance by effectively conducting quality evaluations of Short Term… more
- Evolent (Albany, NY)
- …require technical experts to find the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may be engaged in any testing ... - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in… more
- University of Rochester (Rochester, NY)
- …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and ... completion of required patient documentation. Coordinate required information for denied claims . Participate in payer audits and collect, summarize and send… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Quality assurance and training, resolving ED Missing Reg Items work queues and claim edit errors, Assists with audits & analysis of denials. Assists with development ... coding, and excellent written/oral communication skills required. Certified Health Access Associate (CHAA) required** - **Candidates who do not currently possess… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …for the Spinal Cord Injury and Disorder (SCI&D) Unit is directly accountable to the Associate Chief of Staff of SCI&D. The SCI Physician is an active participant and ... and written English. Additional Requirement: Board Certified / Board Eligible Preferred Experience: SCI Fellowship Graduate Reference: For more information on this… more
- Whitney Young Health Center (Albany, NY)
- …all other related paperwork. + Utilize the Electronic Provider Assisted Claim Entry System/Medicaid Eligibility Verification System (ePACES/MEVS) and other data ... Jr. Health Center. + Completes other duties as assigned. Requirements MINIMUM QUALIFICATIONS: Associate degree in Human Services or a related field. One (1) to three… more
- Stony Brook University (Commack, NY)
- …timeframes. + Support internal operational departments by addressing contractual disputes, claim denials, and reimbursement issues. + Participate in and support ... and resolve issues effectively through both written and verbal communication. ** Preferred Qualifications:** + Experience leading Managed Care contracting for an… more
- Mount Sinai Health System (New York, NY)
- …of the beneficiary, as coded and reported by the hospital on its claim , matches both the attending physician's description and the information contained in the ... and compliance with regulatory requirements. The CRM works in conjunction with the Associate Director and Director of DRG Validation to help develop coding education… more
- MTA (New York, NY)
- …and engineering firms . Develop independent change order estimates and a ssist in claim analysis. Track and forecast price escalation in the NY region for material, ... project manager role in a large, multi-faceted organization. ASPE or Associate Estimating Professional Certification is desirable. Alternative Delivery experience … more