- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... the necessary determination regarding when and how to update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium… more
- City of New York (New York, NY)
- …public to perform a preliminary assessment of the individual's needs and/or claims of discrimination. - Perform data entry, generate letters, and otherwise ... electronic information storage system in order to facilitate agency operations . - Maintain an organized, retrievable filing system. -...to advance the work of the LEB. HUMAN RIGHTS SPECIALIST (COMM - 55018 Qualifications 1. A baccalaureate degree… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... about the Act and the complaint process, visit Human Resources and Administration/ Operations , Security, and Preparedness (HRA/OSP) at The Fair Chance Act. more
- Excelsior Orthopaedics Group (Amherst, NY)
- …with DMEPOS as directed by a physician. Assists with the efficient operation of the Excelsior Durable Medical Equipment Program. Fits and educates patients ... products used in orthopedic practice. + Knowledge of medical insurance claims procedures and documentation. + Excellent communication, organizational and business… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Health Plan Operations , Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis… more
- Highmark Health (Buffalo, NY)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... and conflict management + Demonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in primary care and… more
- The Institute for Family Health (New Paltz, NY)
- …and facilitates resolution. + May be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be ... to 10 Years Experience, Education, Certification) SUMMARY: The Revenue Cycle Operations Coordinator is cognizant of the philosophy, standards, objectives and… more
- CDM Smith (Albany, NY)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- City of New York (New York, NY)
- …Director. The Senior Executive Director will be responsible for managing the day-to-day operations of a team responsible for client intakes and referrals through a ... the Senior Executive Director will also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how to process VA claims… more
- Gerber Collision & Glass (Albany, NY)
- …Albany, NY Glass America is a respected leader in the auto glass industry. As a Claim Specialist , you are a key member of Glass America's shop operations ... + Have a sense of urgency when filing insurance claims with and/or without customers on the line. +...Process driven with the understanding of how to manage Claim Spreadsheets. Glass America is an Equal Opportunity Employer.… more