- The Hartford (New York, NY)
- …courses, and other approved educational sources such as CPCU/IIA (CPCU, ARM, Claims ), CIC etc. Industry Specific Knowledge and Safety: Have working knowledge of ... Active participation with partnering business units such as underwriting, claims , and sales teams. + Work with Risk Engineering...and sales teams. + Work with Risk Engineering Managing Director on special projects and developing reports to support… more
- Molina Healthcare (Albany, NY)
- …matrix, HEDIS work plans, and all product timelines. + Works with the Director to manage contacts within the plan(s) and/or Molina corporate, external auditors, ... software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and… more
- Evolent (Albany, NY)
- …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 effort ... - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in… more
- New York State Civil Service (Endicott, NY)
- …responsible for the following;. Accept and process both original and continued claims for Unemployment Insurance. . Conduct telephone interviews with claimants in ... of certifying for benefits.. Determine the need for further fact-finding and place claims on hold pending further investigation. Work a variety of reports . Provide… more
- City of New York (New York, NY)
- …State, and local veterans' benefits. Veteran Specialists assist clients in assembling claims that are submitted to the United States Department of Veterans Affairs ... health care, and VA survivor's benefits. Reporting to the Senior Executive Director of Veteran Support Services, the Veterans Specialist for Caregivers and… more
- Molina Healthcare (Syracuse, NY)
- …Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex ... implement efficient enterprise-wide processes and governance structures that span claims , encounters, clinical, finance and actuarial functions. + Identifies,… more
- City of New York (New York, NY)
- …verifies accounting data for accuracy and completeness. Responsible for the examination of claims and vouchers as well as all valid claims before being ... generally accepted accounting principles. - Submit monthly reports to the Coordinator/ Director for submission to various city agencies including the Controller's… more
- Outreach Development Corporation (Richmond Hill, NY)
- …The medical billing and collections specialist position reports to the Billing Director . The role manages, monitors and ensures the execution of the billing ... Specialist Position Summary: + Compile, monitor and bill out claims . + Verify client's insurance benefits on an ongoing...may delay payment of services. + Review and work claims in the clearing house. This may include but… more
- Mount Sinai Health System (New York, NY)
- …**Responsibilities** + Prepares reports as directed by the Assistant Vice President or Director . Does data mining, analyses of underpaid claims and detail report ... + Responsible for credit balance resolution. + Collects, reviews and investigates unpaid claims internally and with established payers + May work with various Team… more
- MTA (New York, NY)
- …108,933 - $ 130,719 HAY POINTS: 451 DEPT/DIV: Information Technology SUPERVISOR: Director , Product Development LOCATION: Various/ 2 Broadway, New York, NY 10004 ... a highly experienced Systems Engineer with relevant experience across claims , insurance, enterprise safety and security systems, occupational health services,… more