- 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
- 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
- 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
- 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
- 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