- 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 team ... receive a great salary and benefits, and experience the support and opportunity you deserve. You're empowered to make...+ Have a sense of urgency when filing insurance claims with and/or without customers on the line. +… more
- Molina Healthcare (Albany, NY)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis...to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with… more
- City of New York (New York, NY)
- …billing specialist , you will perform health insurance billing activities and support functions including claim review, claim submission, follow up ... medical records requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in… more
- Molina Healthcare (Albany, NY)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partners with Network to… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive… more
- University of Rochester (Rochester, NY)
- …related to the following: + Bankruptcy filings and resolution + Estate Claim verification + Presumptive financial assistance + Other recommendations to resolve ... to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +...a nationally accredited billing program (ie, Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical… more
- Oak Orchard Health (Brockport, NY)
- …reason for our success, from physicians to nurses to administrators and support personnel. If you're passionate about serving all with excellence, equity, inclusion, ... + Retirement Plan 403(b) with a competitive company match + Organizational support of continuing education and professional development! + Company paid life… more
- MTA (New York, NY)
- …reduce the MTA's cost of risk through risk analysis and transfer, claims management practices, captive financial planning, insurance program placement, and other ... related functions in support of Risk & Insurance Management initiatives and MTA...handling All Agency Fiduciary, Fidelity, and agency property insurance claims ( Claims valued over $100 million are… more
- Travelers Insurance Company (Melville, NY)
- …Business Partners, and helping identify needs for Technical Training of Regional Specialist Consultants (RSCs), and Staff in assigned territory. This job serves as ... not manage others. **What Will You Do?** + Conducts specialist Risk Assessment surveys at applicant or written client...assigned to business units, with the broker/agent community, with Claim , with other Risk Control staff, and with clients.… more
- New York State Civil Service (New York, NY)
- …Law. Eligible titles include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative ... previous loss experience and premium data.* Review/analyze experience rating data and claims material to price a policy.* Define, restrict, or qualify policy… more