- Molina Healthcare (Yonkers, NY)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... + Documents appropriately all case related information in the case management system in an accurate manner, including storage of case documentation following SIU… more
- CVS Health (Albany, NY)
- …knowledge of problem solving and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High School Diploma ... measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with MTM, Corporate Service strategy, NCQA, ... First Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other complex… more
- Towne Park (Queens, NY)
- …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the...check receipt from all vehicles taken into the valet system . Consistently completes location on all key tags after… more
- AON (New York, NY)
- …language; Project Insurance Manual; Project Safety Standards; Project reports, eg Monthly/Quarterly/ Claims ; Stewardship Report; and Fee and premium invoices. + Acts ... program Sponsors to evaluate program progress and issues. + Reviews periodic program claims reports and participates in periodic claims review meetings with… more
- Highmark Health (Albany, NY)
- …business units, coupled with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and ... applications and consultation on the design, testing, and enhancement of reporting systems . Recommends improvement to plan design + Provides feedback to various… more
- City of New York (New York, NY)
- …to oversee the timely planning, preparation, processing and submission of NYCDOT's claim reimbursement requests to the New York State Department of Transportation ... department's non-city grant records in the NYC Citywide Capital Grants Management System (CGMS) managed by OMB/Comptrollers. Under supervision, the major duties of… more
- MTA (New York, NY)
- …fleet and more subway and commuter rail cars than all other US transit systems combined. MTA strives to provide a safe and reliable commute, excellent customer ... commuter rail, subways, buses, and the bridge & tunnel systems within the Metropolitan Transportation Authority's (MTA) workforce of...injury is recorded, the condition is corrected, and the claim is properly processed for continuance of care and… more
- Intermountain Health (Albany, NY)
- …and alignment with charge, coding and charge edits. + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. ... Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts. + Evaluates, provides education and… more
- City of New York (New York, NY)
- …scanning and uploading documents to HRA's One Viewer. - Obtain Welfare Management System (WMS), Claim Detail Report (CDR) and Division of Accounts Receivable ... attorneys, Estate executors, Administrators, Fiduciaries, and Beneficiaries); eg, Proof of claim , Notice of Lien. - Manage, maintain, and organize all papers… more