- University of Rochester (Rochester, NY)
- …conforms to federal and state regulations bringing concerns to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the ... not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as...insurance refund credits. + Review and advise supervisor or manager of trends on incorrectly paid claims … more
- Public Consulting Group (Albany, NY)
- …Analyst will support both the contractual administrative tasks and the entire claim process. The independent contractor will provide contract support through data ... entry, report extract and analysis, and client support through claim issue research. Additional this position will assist in performing claims processing,… more
- CDM Smith (Buffalo, NY)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific...and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS **Employment Type:** Regular… more
- Mohawk Valley Health System (New Hartford, NY)
- RN - Clinical Risk Manager - Full Time - Days Department: LEGAL AND COMPLIANCE Job Summary The RN - Clinical Risk Manager ("CRM") is responsible for identifying, ... of safety, throughout the organization. Responsible for management of pending insurance claims and partnering with brokers and insurers. Core Job Responsibilities +… more
- City of New York (New York, NY)
- …child support enforcement, etc. Under the direction of the Deputy Center Manager , with considerable latitude for decision making, performs difficult and responsible ... specialized administrative work supervising the functions of the City-wide Claims Units and/or supervising the functions of the City-wide Special Projects Units. The… more
- University of Rochester (Albany, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… more
- EAC Network (Garden City, NY)
- …- Social Services Description Join EAC Network as a Budgets and Contracts Manager ! EAC Network, a not-for-profit social service agency that empowers, assists, and ... Long Island and NYC, seeks a Budgets and Contracts Manager to join our Finance department. + Wage: $75,000...develop plans to address variances. + Process and submit claims requests within 10 business days of the end… more
- HNTB (New York, NY)
- …in support of a project's profitable operation. In collaboration with the Project Manager , they will take appropriate measures to ensure full adherence to applicable ... Project Controls group, and the Enterprise Operations Contracting & Claims (EOCC) and Risk Management (ERM) groups. + Develops...all potential changes. Works closely with the Deputy Project Manager for Design and project controls staff to quantify… more
- RxBenefits (New York, NY)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... Manager , Pharmacy Pricing is a leader and key contributor...also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior… more
- Elevance Health (New Hyde Park, NY)
- Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated posting ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Manager of DRG Coding Audit** leads a high-performing team responsible for… more