- New York State Civil Service (Buffalo, NY)
- …care services, prior approval or authorization activities, adjudication or pricing of claims for payment, or analysis of patterns of health care.3. Overseeing and ... coding constructs for medical goods and services, or application and processing of reimbursement methodologies.4. Administering and overseeing staff responsible for… more
- Robert Half Finance & Accounting (Rochester, NY)
- …* Manage workers' compensation processes, ensuring timely and effective handling of claims . * Lead recruitment efforts, including onboarding new hires to integrate ... * Familiarity with payroll systems, particularly ADP, and ensuring accurate processing . * Deep understanding of compensation, benefits, and HR compliance… more
- CenterWell (Albany, NY)
- …in Microsoft Access or experience with SQL Server databases + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability ... to read, write, and speak English and Spanish **Additional Information** **SSN Alert Statement** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file.… more
- City of New York (New York, NY)
- …review of court records, the interview of witnesses; also directs them in the processing of FOIA requests, in response to Violation of Probation appeals and in the ... labor disputes, discrimination complaints and procurement contracts. - Judges the merits of claims filed against or on behalf of the Department, working with the… more
- Northern Rivers Family Services (Queensbury, NY)
- …and Medicaid Services (CMS). All electronic prescriptions in NYS require an NPI. Claims processing functions also require the NPI of nurse practitioners and ... physicians. + Federal Drug Enforcement Administration (DEA) number - issued by the United States Department of Justice Department DEA to nurse practitioners and physicians to prescribe controlled substances. DEA registration must be renewed every three years… more
- Mount Sinai Health System (New York, NY)
- …ideal candidate will have had some experience working with health administrative/insurance claims data and other large datasets. Prior experience with the Department ... either lead or co-author manuscript publications. Responsibilities will include processing large datasets, performing statistical analyses, developing models, preparing… more
- City of New York (New York, NY)
- …Adjudication, and Collections divisions. Customer Operations is charged with the processing of tax payments, parking violations payments, and all other charges ... -Testifying in court within any borough upon subpoena. -Researching unprocessed claims for recording. -Completing special projects upon request. -Knowledge of the… more
- Northwell Health (Melville, NY)
- …demographics as well as updating payment and medical insurance information. + Processing patient payments and refunds. + Identifying medical coding mistakes, as well ... to various government sites. + Manages work queue, aging lists, reports, and claims correspondence to assure accurate and timely payment of accounts. + Verifies… more
- New York State Civil Service (Albany, NY)
- …Database (APD) which intakes and provides a platform to analyze health insurance claims and encounter information and the State Health Information Network for New ... the following functions:1) Manage the development, implementation, operations (data intake, processing , and warehousing), and evolution of the systems, data content,… more
- City of New York (New York, NY)
- …guidelines. The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; ... monitoring the financial health of provider agencies through financial review and audits; maintenance of the ACS bank accounts; centralized oversight of ACS Child Welfare financial eligibility; and data maintenance for financial systems of record. The Payment… more