- 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
- 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
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST ... TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO...Wage Reporting, Department of Corrections, Unemployment Insurance and Child Support Greater than Cash Assistance Grant computer matches. The… more
- New York State Civil Service (Endicott, NY)
- …only Case Manager in the NYS Segment.* Work-up and process Workers' Compensation claims .* Approve and deny medical bills.* Respond to claimant and provider inquiries ... via phone and email.* Routinely communicate with employers to obtain info about claims .* File forms and correspond with the Workers' Compensation Board.* Review … more
- University of Rochester (Rochester, NY)
- …GENERAL PURPOSE Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... functionality required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to insurance or… more
- Sumitomo Pharma (Albany, NY)
- …Oncology (Albany, NY).** In this field-based role, the Prostate Cancer Sales Specialist will focus on achieving sales goals within the prostate cancer therapeutic ... energetic and thrive in a nimble, start-up organization. The Prostate Cancer Sales Specialist will demonstrate a sense of urgency to prepare and successfully execute… more
- Molina Healthcare (Albany, NY)
- …in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support , or other specific program ... of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …required as is an expertise in heart failure. GENERAL DESCRIPTION: The Cardiology Specialist position at the SVAMC (Stratton VA Medical Center) will encompass the ... patients of the Medical Center and will function as support to the hospitalist, through inpatient consults; as ...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- University of Rochester (Albany, NY)
- …GENERAL PURPOSE The Assistant Coding Manager serves as a key support leader within the assigned functional area(s). This role provides assistance ... but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality,… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …care for patients with SCI Collaborate with Chief, medical staff and rehabilitation specialist to ensure that all patients are provided timely and courteous care ... required or directed by the Chief of the Service Support VA and all SCI Service policies and procedures...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more