- Brighton Health Plan Solutions, LLC (New York, NY)
- …work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
- EFI Global (Rochester, NY)
- …**Education & Licensing** Bachelor's degree from an accredited college or university preferred . Colleague to pursue CPCU, AIC and/or ARM or other related designation ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …partnership, business impact and influence. Experience in hematology-oncology (eg, MM, NHL) preferred . This role does not have direct reports, but will manage ... Be For You If You Have** + Experience working with prescription, sales, EMR, claims /patient level data sets inclusive of pharma data sources such as IQVIA, Symphony,… more
- Utilities Service, LLC (Oneonta, NY)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... + Must be 18 years or older + High School Diploma or GED equivalent preferred . **Pre-Screen:** + Upon offer, employees may be required to subject and pass a… more
- University of Rochester (Rochester, NY)
- …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization and ... completion of required patient documentation. Coordinate required information for denied claims . Participate in payer audits and collect, summarize and send… more
- Trinity Health (Syracuse, NY)
- …in a secretarial setting is required. Certification as a notary is preferred . **SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:** PC and appropriate software ... to support the deployment of the Ministry Risk Management plan. **LIABILITY CLAIMS SUPPORT:** At times, accepts service of and appropriately forwards Summons &… more
- MTA (Bronx, NY)
- …and at reducing collisions and minimizing expenses related to litigation and claims . Execute the development and implementation of an enhanced de-escalation training ... and collision avoidance features, to improve employee availability and reduce IOD claims . Serve as co-chair of the DOB Assault Committee which is developing… more
- Molina Healthcare (Yonkers, NY)
- …responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of ... and benefit realization + Demonstrates deep understanding of Core Operations, Claims and Enrollment processes, deliverables, vendor partners and technology platforms… more
- New York State Civil Service (Hauppauge, NY)
- …of state legislation, regulations, and operations. The RO also engages in the defense of claims brought against the state of New York and its agencies in the Court ... of Claims . The RO offers a diverse and stimulating litigation...list of three (3) professional references; supervisory references are preferred . For each reference, indicate the nature and duration… more
- SUNY Upstate Medical University (Syracuse, NY)
- …from clinical departments, physicians, and Financial Service staff to ensure claims are billed and/or resubmitted with appropriate coding. Responsible to assist ... ambulatory departments with coding issues and/or questions to ensure claims are billed compliantly and accurately based on medical record documentation. Minimum… more