- FlexStaff (Lake Success, NY)
- …RESPONSIBILITIES: + Independently review, examine, and resolve fraud and merchant dispute claims . + Monitor member activity and use fraud detection tools to identify ... management systems and monitor fraud tool performance. + Provide essential support to branches, Contact Center representatives, and other internal fraud/risk teams.… more
- Mount Sinai Health System (New York, NY)
- …9. Interfaces with the HRA/TDC on-site Professional Liability Investigators: reporting potential claims as well as cases of concern by preparation of preliminary ... 13. Serves as a risk management resource to all clinical and support departments. 14. Participates in policy and procedure development. 15. Investigates complex… more
- Mount Sinai Health System (New York, NY)
- …+ Insurance: Understanding of benefits verification, coverage determination, or claims workflows + Fintech/IT: EPIC **Describe Work Environment** Office-based May ... vendors , including supervision of pre appeals nurses, and support staff. + Develop and implement pre appeals strategies,...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)
- …ideal candidate will have had some experience working with health administrative/insurance claims data and other large datasets. Prior experience with the Department ... presentations at scientific meetings, and providing other research and methodological support for existing and ongoing studies. **About Us** **Strength through Unity… more