- MTA (Brooklyn, 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 ... which includes the New York State Department of Labor claims processing, hearings, appeals, adjournments, remands and quarterly audits....+ Strong working knowledge of PC applications and HR systems (ie, MS Office Suite, Visio and Peoplesoft or… more
- MTA (New York, NY)
- …include monitoring actual project performance; anticipating and forecasting potential claims ; negotiating and resolving claims /disputes; ensuring proper ... The Assistant Vice President, Commercial Executive will oversee all project management systems . This position will be responsible for standing up necessary … more
- City of New York (New York, NY)
- …Management System (FMS), the New York State Benefits Issuance and Control System (BICS), PASSPort and other internal systems to complete work assignments. ... The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the… more
- Molina Healthcare (Albany, NY)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and… more
- Elevance Health (Latham, NY)
- …include, but are not limited to: + Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each ... for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an...on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting,… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate care ... employers and claimants in regard to claimants' workers' compensation cases. Provide claims processing for the Workers' Compensation and No-Fault lines of business.… more
- Fedcap (New York, NY)
- …position ensures the implementation of Finance policies, procedures and business systems , including the attainment of performance goals for overall first-in-class ... + Reconcile all charges and data entered into the system assuring 100% data entry accuracy; assure correct provider,...service, medical service and coding are billed. + Submit claims to insurance companies on a daily basis. +… more
- Syracuse Community Health Center (Syracuse, NY)
- …denials management specialist role involves analyzing, resolving, and preventing denied insurance claims within the Epic electronic health record system . This ... Medical Terminology required. Demonstrated understanding of billing requirements for claims , demonstrated knowledge of healthcare insurer reimbursement systems ,… more
- Robert Half Finance & Accounting (Amherst, NY)
- …+ Handle the processing of disability, FMLA, PFL, and workers' compensation claims , and ADA accommodations + Oversee the processing for Workers Compensation and ... Implement and utilize the leave module in the HRIS system for efficient management of leaves + Process NYS...for efficient management of leaves + Process NYS Unemployment Claims , dispute inaccurate claims , and represent the… more
- New York State Civil Service (Commack, NY)
- …Lead Medicaid Compliance Liaison.? Collect and analyze service documentation for quarterly claim review samples provided by the Office of Audit Services; document ... adoption or foster care.* Retirement Program:Participate in The NYS Employees' Retirement System (ERS), which is recognized as one of the best-managed and… more