- Allied Universal (Buffalo, NY)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss ... Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate...+ Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims… more
- Allied Universal (Batavia, NY)
- …+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud Claim Law ... perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …C. REQUIREMENTS: 1. Minimum BA/BS in related Human Services Field. 2. Must be a certified investigator or be able to pass the certification course within 60 days ... Incident Management Investigator Type of Position Full time Search Location(s)...the Social Services Law), Protection of Individual in Programs certified by OPWDD (Part 633 regulations), and the Justice… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6481) Job Brief Assists the Incident Management Investigator with conducting investigations into situations, which may violate… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Type of Position Per Diem Search Location(s) Manhattan, NY Apply Now ... investigations. 6. In conjunction with the assigned Incident Management Investigator Specialist, prepares investigative reports and forwards completed reports to… more
- Highmark Health (Albany, NY)
- …+ Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, ... **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional... claims processing systems and coding and billing proficiency +… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... school diploma/GED plus 3 years of relevant experience + Certified coder required + Experience in medical billing or...coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems… more
- CVS Health (Albany, NY)
- …**Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… more
- Mount Sinai Health System (Elmhurst, NY)
- …CPC / CCS-P credentials. At least six months coding experience preferred. Certified Professional Coder/AAPC. Ability to use computer. Average dexterity and knowledge ... accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …York State license as a Registered Professional Nurse or other licensed/ certified clinical professional strongly preferred; foreign healthcare experience can be ... 9. Interfaces with the HRA/TDC on-site investigators reporting potential claims as well as cases of concern by preparation...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more