- Humana (Albany, NY)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- City of New York (New York, NY)
- …performs, but is not limited to, the following duties. The Office of Fiscal Operations /The Division of Revenue Control & Analysis (DRCA) is recruiting for two (2) ... and maintain expense and claiming data received from the Bureau of Claims & Reimbursement (BCR), which includes approximately 3,200 DSS/HRA/DHS and other agency… more
- Corning Incorporated (Corning, NY)
- …guidance and support to internal stakeholders on duty recovery, reduction, bonded operations and requirements. + Stay updated on industry trends, best practices, and ... to prepare duty drawback, Post Submission Corrections, or Protests claims accurately and in compliance with customs regulations. +...regulations. + Work with a 3rd Party to submit claims to customs authorities within prescribed timelines. + Track… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical ... tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities. **Responsibilities** **Job Duties:** + Manages the existing… more
- Leonard Bus Sales, Inc. (Rome, NY)
- …bonus Responsibilities: + Ensures the efficient processing of all warranty claims within company and manufacturer guidelines; ensuring maximum profitability and ... and Parts Managers, reconciles and resubmits rejected or underpaid claims , posts all credits and charge backs, and follows...+ Demonstrates a basic knowledge of warranty and dealership operations knowledge. More than great buses, your partner and… more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …readiness across all clinical trial sites, clinical and Pharmacovigilance (PV) operations . + **Audit Management:** Oversee the planning, execution, and follow-up of ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- MetLife (New York, NY)
- …employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the ... roadmap for Pet, aligned with business objectives and enterprise data strategy. * Claims automation: Given the exponential growth of the Pet business, claims … more
- PSEG Long Island (Hicksville, NY)
- …on a recurring cycle manage emergent project work in support of operations and manage key supplier relationships Work closely with technology and telecommunication ... commercial negotiations that occur regularly in support of maintenance and operations **Job Responsibilities** The primary responsibilities for this position are the… more
- Evolent (Albany, NY)
- …growth opportunities at customer accounts + Strong knowledge of health plan operations , care/utilization management, claims processing, value-based care, and the ... Provider Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations , Medical, Quality, and Call Center Teams) to identify new… more