- Molina Healthcare (Syracuse, NY)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... of Benefits (COB) claim pricing and processing. This role will focus on...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
- University of Rochester (Albany, NY)
- …pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates with ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the… more
- CDM Smith (Albany, 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
- Kelly Services (New York, NY)
- **Account Manager - Medical Benefits** **Location: Brooklyn, NY or Manhattan, NY - Hybrid** **Salary: $70,000-85,000** **Direct Hire Opportunity!** **Kelly** has an ... amazing opportunity for an experienced and successful **Account Manager ** to join a leading **3rd party Health Benefits Administrator** based out of their… more
- Latham, The Pool Company (Latham, NY)
- … communicates with homeowners and dealers regarding warranty/ non warranty items ( claims , repairs, inquiries, etc.). This manager will handle escalations from ... warranty admin staff, sales, and other internal stakeholders. The manager will be responsible for daily reporting, employee development, and other projects as… 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
- EAC Network (Garden City, NY)
- Budgets and Contracts Manager Job Details Level Experienced Job Location 99 Quentin Roosevelt Blvd Suite 200, Garden City, NY, 11530 - Garden City, NY Position Type ... Services Join Our Team as a Budgets and Contracts Manager for ourFinance department here at EAC Network! Are...develop plans to address variances. + Process and submit claims requests within 10 business days of the end… more
- Centene Corporation (Queens, NY)
- …to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more
- Oak Orchard Health (Brockport, NY)
- Revenue Cycle Manager Brockport, NY (http://maps.google.com/maps?q=300+West+Avenue+Brockport+NY+USA+14420) Job Type Full-time Description Do you want to be part of a ... the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through… more
- Amgen (New York, NY)
- …us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - New York** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and… more