- Justworks (New York, NY)
- Unemployment Claims Associate New York, New York Apply Who We Are At Justworks, you'll enjoy a welcoming and casual environment, great benefits, wellness program ... to prioritize effectively in a fast-paced setting. Learning new systems and tools comes naturally to you, and you're...comfortable using technology to streamline your work. As a Claims Associate on the Unemployment Operations team, you'll play… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …offices, clinics, social day cares, home care agencies, DME suppliers) regarding claim decision and payments across all Centers Plan for Healthy Living (CPHL) ... product offerings. + Thoroughly and efficiently gather claim information, assess and fulfill the caller's needs and...on the first call; navigate through the appropriate computer system (s) to identify the current status of the issue.… more
- City of New York (New York, NY)
- …activity. Provide presentations/demonstrations of the Automated Supplemental Nutritional Assistance Program Claims System (ASCS) both internally as well as ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...processing. - Monitor and distribute cases in the Automation system for review and completion of staff in the… more
- Elevance Health (Latham, NY)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... - Friday, between the hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully completing the required basic training. Able to… more
- Molina Healthcare (Yonkers, NY)
- …requirements, including the proper use of the Molina Provider Grievance and appeals system . * Reviews and analyzes collective grievance and appeals data along with ... experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, including 2… more
- Molina Healthcare (Buffalo, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations,… more
- Amazon (New York, NY)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of...Master's degree or equivalent - Experience working in procurement systems , accounts payable systems , banking systems… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... Mount Sinai is one of the largest US health systems with a strong reputation for quality of care...Facility and Ancillary Contracts across the Mount Sinai Health System . MSHP seeks a Senior Contract Compliance (Professional Billing)… more
- University of Rochester (Rochester, NY)
- …in visit notes. 30% Corrects claim errors returned post-submission. - Reviews claims requiring non-routine correction in payer system to determine method of ... Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer...of payer billing software makes corrections directly in payer system . - Identifies non-routine problems for claims … more
- Mount Sinai Health System (New York, NY)
- …gross, days in A/R and net collection ratios are met. 4. May analyze claims system reports to ensure that underpayments are correctly identified and collected ... Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner....System is one of the largest academic medical systems in the New York metro area, with more… more
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