- 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 ... products to supervisors and staff. + Provide coverage to Director , fellow department Managers and Supervisors. _Interdisciplinary Processes_ +...Create - and Make the World Ever Better. In support of our values and those of our society,… more
- Zurich NA (New York, NY)
- …School Diploma or Equivalent and 10 or more years of experience in the Claims , Underwriting support areaOR + Zurich Certified Insurance Apprentice including an ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge...Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-SG1 #LI- DIRECTOR #LI-HYBRID EOE Disability /… more
- Trinity Health (Syracuse, NY)
- …to support the deployment of the Ministry Risk Management plan. **LIABILITY CLAIMS SUPPORT :** At times, accepts service of and appropriately forwards Summons ... Administrative Assistant **DEPARTMENT:** Clinical Quality & Safety **REPORTS TO:** Regional Director of Risk Management **MISSION STATEMENT** **_:_** We, St Joseph's… more
- AON (New York, NY)
- …position will have frequent interactions with the client Human Resource/Benefit Director for the delivery of benefits consulting services. Responsibilities include ... fully-insured and traditionally on a commission basis. However, we also support non-complex, alternatively funded, and self-funded clients through the ALA team.… 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 ... reviews the physician documentation for specificity, completeness and quality to support coding accuracy, and to identify physician query opportunities to improve… more
- Zurich NA (Queens County, NY)
- …School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience...Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-AK1 #LI- DIRECTOR #LI-HYBRID EOE Disability /… 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 ... Overview May Serve as personal/Confidential Secretary for the Director of department. Monitors and prepares confidential correspondence, handles all related matters.… more
- Kelly Services (Rochester, NY)
- …exception, and medical necessity reviews + Route cases to pharmacist/medical director for final determination, as directed + Issue verbal and written ... information + Communicate with pharmacies/physician offices for clarification on requests and claims + Act as lead troubleshooter for pharmacy help desk, customer… more
- CSEA (Albany, NY)
- …Supervisor JOB SUMMARY: The Member Solutions Center Supervisor reports directly to the Director of Membership. In partnership with the Director , the Member ... a liaison to other departments and work groups to support the operations of the organization as assigned.7. Prepare...deficiencies that members are experiencing and work with the Director of Membership to help develop corrective actions.8. Make… 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 ... order to prepare a response for submission in appeal. - In absence of Director , will review denial correspondence to determine validity of denial reason and course… more