- Molina Healthcare (Yonkers, NY)
- …Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received ... via claims , call tracking, or e-mail. Maintain records in the enrollment database. **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium… more
- Publicis Groupe (New York, NY)
- …* Drive integration of data partners (eg, identity graphs, retail media networks, claims data) into targeting strategies. * Stay ahead of data privacy regulations ... in our freelancer/temporary employee medical plan through a third-party benefits administration system once certain criteria have been met. Temporary roles may also… more
- City of New York (New York, NY)
- …laws in the nation. Through its Law Enforcement Bureau (LEB), the Commission accepts claims filed by the public, and has the power to initiate its own investigations ... - Enter, update, and retrieve information on an electronic information storage system to facilitate agency operations. - Manage the operational functions of the… more
- AIG (New York, NY)
- …network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a market leader in critical ... standards as it relates to invested assets, the implementation of new accounting systems as it relates to invested assets, and management of the risks, controls… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …the organization's insurance programs, including renewals, coverage adequacy, and claims oversight. **This is not a remote opportunity** **Responsibilities** **Job ... best practices as it relates to financial planning & analysis including systems , tools, and processes across the different businesses. + Responsible for building,… 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
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... coding edits_ + In-depth knowledge of the coding process, coding systems software, workflow management, and excellent navigation of electronic medical records… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... as coded and reported by the hospital on its claim , matches both the attending physician's description and the...requirements. The CRM works in conjunction with the Associate Director and Director of DRG Validation to… 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 ... credit balance resolution. + Collects, reviews and investigates unpaid claims internally and with established payers + May work...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... attendance and performance of all staff. + Meets with Director to go over all high balance accounts. Also...of all manual charge postings into the patient accounts system . Interacts with departments that put data into patient… more