- Excellus BlueCross BlueShield (Rochester, NY)
- …for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical ... Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in… more
- Highmark Health (Albany, NY)
- …business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, ... develop, and support various complex projects and data analyses. A primary...understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues… more
- Justworks (New York, NY)
- …Insurance Claims Team with resolving state inquiries (including child support fact-finding documents, mortgage and earning verifications, wage audits, and more) ... with the Senior Coordinator of Unemployment Operations and Verification to provide direct support to the claims and registration teams. + Pull, organize and… more
- Kenmore Tonawanda UFSD (Buffalo, NY)
- …Education. The position provides timely, accurate financial analysis and counsel to support responsible and strategic use of District resources and ensures that ... and completion of required State financial reports, including year-end State Aid Claim reports and the ST-3. + Comprehensive technology skills, including proficiency… more
- MTA (New York, NY)
- …for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + Responsible for the management ... safety incentive awards, and any other services needed to support the OCIPs. + Interacts with high level Agency...and assess loss picks, ensuring accuracy in estimating future claims costs. Oversees OCIP claims and settlements… more
- City of New York (New York, NY)
- …personnel for all contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates. - Maximize agency ... reimbursement by ensuring all expenditures are captured and reported accurately in claims . - Reconcile DOHMH submitted claims after state approval. - Handle the… more
- Ellis Medicine (Niskayuna, NY)
- …and Vision insurance that starts DAY ONE! + Generous paid time off to support a work-life balance, including 6 paid holidays + Tuition Reimbursement and professional ... lists to ensure complete, timely and accurate submission of claims , facilitating the accuracy and completeness of the practice's...relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the… more
- Molina Healthcare (Rochester, NY)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with… more
- New York State Civil Service (Albany, NY)
- …$31 billion in State Aid distributed annually to school districts and BOCES in support of public elementary and secondary education in New York State. Data that ... perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use...projects;* Process revisions to school districts' prior year aid claims to ensure correct aid is paid and overpayments… more
- Chobani (New York, NY)
- …approvals, trials, and supply chain feasibility Partner with Regulatory and Legal to ensure claims feasibility and claim support Reporting of project status, ... initiatives as well as line extensions and product optimizations. Support packaging and structure initiatives with timelines and cross-functional coordination… more