- New York State Civil Service (Buffalo, NY)
- …Case Manager in the NYS Segment. *Work-up and process Workers' Compensation claims .*Approve and deny medical bills.*Respond to claimant and provider inquiries via ... phone and email.*Routinely communicate with employers to obtain info about claims .*File forms and correspond with the Workers' Compensation Board.*Review claims … more
- MVP Health Care (Schenectady, NY)
- …Integrity & Cost Containment** to lead enterprise-wide initiatives that ensure claims are paid accurately, ethically, and efficiently. This high-impact role ... goals. + Oversee pre- and post-payment integrity programs including claims editing, audits, subrogation, readmission reviews, and coordination of benefits.… more
- City of New York (New York, NY)
- …through interactions with law enforcement, the criminal justice system, the medical examiner 's office, and others as necessary. This position will report directly to ... families to determine their needs. Help homicide survivors navigate the Medical Examiner 's Office, liaise with Bronx Homicide Detectives, and explain the Criminal… more
- City of New York (New York, NY)
- …advocacy through interactions with law enforcement, the criminal justice system, the medical examiner 's office, and others as necessary. The goal of this program is ... Detectives. - Assist homicide survivors in navigating the medical Examiner 's office. - Provide immediate emotional support and offering...with the completion of and filing of victim compensation claims with NYS OVS. - Prepare letters and forms… more
- City of New York (New York, NY)
- …for all medically related issues for medical management of workers' compensation claims . Responsibilities include: Consult managerial and legal staff in regards to ... not related to the claimant's job related injury. Assist examiner and legal staff to determine compensability of treatment...work injury and assist with medical case management of claims . Review and process high value and complicated in-patient… more
- Highmark Health (Albany, NY)
- …**Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have… more