- Molina Healthcare (Yonkers, NY)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external… more
- OLV Human Services (Lackawanna, NY)
- …grade students in 6 schools, with a focus on blending academic and social emotional support to meet the diverse needs of all learners. Benefits: + Paid School Break ... federal and state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies and all others. 11. Performs all other job-related duties… more
- AIG (New York, NY)
- …close co-ordination with AIG subject matter experts and robust reviews of claims history and general company information. + Your relationships with brokers will ... ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …to the general ledger. + Ensure vendor listing in DAX is maintained and updated to support 1099 reporting. + Assist with tax filings, 1099s and all other ad hoc tax ... Balance and Subrogation Recoveries ensuring all recoveries received are processed by claims department and then appropriately accounted for and returned to clients.… more
- BronxCare Health System (Bronx, NY)
- …data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality ... Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d)… more
- Volunteers of America Upstate New York (Rochester, NY)
- …programs offer homeless & low-income individuals and families safe housing and support services. We provide long-term solutions to the problems of homelessness, ... Accepted Accounting Principles. + Timely and accurate preparation of funders vouchers/ claims + Review and understand contract agreements with program Vice Presidents… more
- Capital Region BOCES (Albany, NY)
- …work involves responsibility for independently performing complex clerical operations and administrative support tasks for a unit in a Division. Incumbents spend a ... sorts and distributes incoming mail. + Checks, codes and processes requisitions, claims and bills. + Prepares and maintains financial, statistical and personnel… more
- Latham, The Pool Company (Latham, NY)
- …rules, pricing logic, and data flows . Provide documentation, training, and ongoing support to end-users and internal stakeholders . Monitor CPQ system usage and ... and/or Warranty modules) + Strong understanding of sales processes, warranty claims , service contracts, and customer engagement workflows + Familiarity with IFS… more
- Molina Healthcare (Buffalo, NY)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... for all staff to follow + Provides monthly reporting to management in support of functional processes + Oversees maintenance of processes and procedures for… more
- World Insurance Associates, LLC. (Geneva, NY)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts,… more