- Danaher Corporation (Cortland, NY)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. Director Global Quality and Regulatory Compliance JOB ... Beverage applications. + Responsible for ensuring product meets all product claims specifications and regulatory requirements throughout the product lifecycle. +… more
- Kyndryl (New York, NY)
- …Those who believe they are eligible may apply for a medical or religious accommodation prior to the start of employment. **Who You Are** Who You Are You're good at ... in how you work with others. Required Skills and Experience + Prior experience leading or advising large-scale transformation programs across Insurance clients in… more
- Kyndryl (Albany, NY)
- …who believe they are eligible may apply for a medical or religious accommodation prior to the start of employment. **Who You Are** **Required Skills and Experience** ... Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is… more
- NBC Universal (New York, NY)
- …make sure insurance requirements are fair and achievable. + Handle insurance claims from start to finish-analyzing coverage, investigating issues, and pushing for ... an in-person interview with an NBCUniversal employee at one of our locations prior to a hiring decision. NBCUniversal's policy is to provide equal employment… more
- Kelly Services (Rochester, NY)
- …system testing for upgrades/enhancements + Serve as content expert and liaison for prior authorization intake and claims systems interface + Triage daily ... **Kelly(R) is looking for a Pharmacy Prior Authorization Technician to work at a top...and medical necessity reviews + Route cases to pharmacist/medical director for final determination, as directed + Issue verbal… more
- The Institute for Family Health (New Paltz, NY)
- …and facilitates resolution. + May be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be ... denials are at optimal levels + Ensure daily/weekly/monthly medical claim submission. Resolve claim and remittance file...reports data on shared drive spreadsheets + Communicate to Director of Revenue Cycle and IT department changes required… more
- University of Rochester (Rochester, NY)
- …+ Review and provide updates on HB Top Errors. + Ensure Patient, DAR, account, claim edit work queues and high cost, ALC reports are worked daily and are followed ... insurance products to supervisors and staff. + Provide coverage to Director , fellow department Managers and Supervisors. _Interdisciplinary Processes_ + Collaborate… more
- City of New York (New York, NY)
- …Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when ... in the best interest of the city, settles pre-litigation claims for and against the City of New York....Based on the BLA's review and investigation of any claim , the City of New York may extend an… more
- City of New York (New York, NY)
- …records requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing ... services for NYC uninsured and under insured residents. Reporting to the Assistant Director of Patient Billing by working alongside a team of talented health… more
- New York State Civil Service (Albany, NY)
- …Duties Description The Pre-investigation Unit (PIU) has the responsibility of reviewing every claim of labor law violation, submitted to and under the purview of the ... have worked in NYS. The PIU staff review incoming claims and accept, reject, or recommend that claims...redress. If accepted by NYSDOL, PIU recommends where the claim should be routed for investigation. This pre-investigative work… more