- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and ... oversees necessary correspondence in accordance with regulatory requirements. * Ensures claims production standards set by the department are met. * Maintains… more
- Research Foundation CUNY (New York, NY)
- Job Title: Project Manager PVN ID: VC-2411-006558 Category: Managerial and Professional Location: OFFICE OF VC - FACILIT PLAN, CONSTRUC & MGMT Job Description ... and construction program at its 25 campuses. The Project Manager (PM) - Design, Construction, and Management, as a...judgment and working under the general direction of the Assistant Director (AD), the PM has wide latitude in… more
- City of New York (New York, NY)
- …medical records requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in ... providing services for NYC uninsured and under insured residents. Reporting to the Assistant Director of Patient Billing by working alongside a team of talented… more
- City of New York (New York, NY)
- …bookkeeping, bank teller duties, housing office teller duties, purchasing agent, assistant store manager , sales representative responsible for accounts, or ... act on behalf of the Bureau of Fraud Investigation, Liens and Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their staff review cases,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for employee development and promotional opportunities. All Levels + LPN, Medical Assistant , Health Plan customer service or claims processor experience with ... policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and… more
- Sharecare (Albany, NY)
- …+ Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager + Radiology Technician + Home Health Aide ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- Sunrise Senior Living (Hicksville, NY)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... payroll and census reconciliation and email to Regional Business Manager by deadline. **Quality Assurance & Safety** + Focus...and Disability Plans + Retirement Savings Plans + Employee Assistant Program / Discount Program + Paid time off… more
- City of New York (New York, NY)
- …to support the City's Vision Zero plan. The Director will report to the Assistant Commissioner directly and will lead the annual budgetary process to fund ongoing ... materials; managing all grant-related activities including expenditures; deliverables, fiscal claims , evaluations, and reporting; and providing guidance to partner… more
- City of New York (New York, NY)
- …York, NY 10013 Only candidates who are permanent in the Construction Project Manager title or those who are reachable on the Open-Competitive List (Exam#3042) may ... project files. The Office Engineer will also assist the Assistant Commissioner, Borough Director, and Deputy Directors in creating...and perform record searches and prepare responses to FOILs, claims , and lawsuits as requested by our Law unit,… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... of Obstetrics and Gynecology. - Directly supervises URS Research Assistant . In the absence of the Director of Ob/Gyn...to five (3-5) years post Masters experience in a manager administrative capacity in a health or substance abuse… more