- Axis (New York, NY)
- …Agile methodologies and Scrum Master responsibilities to support strategic initiatives within our Claims function. This role is ideal for a professional who can flex ... enhance operational efficiency, customer experience, and digital capabilities across our global Claims organization. **What will you do in this role?** + Lead the… more
- Catholic Health (Buffalo, NY)
- …experience in lieu of degree EXPERIENCE + In depth knowledge of Epic Systems , specifically Claims and Remittance processing. Strong beginner to intermediate EPIC ... and technology method of transformation. Supports the organizations Revenue Cycle claims and remittance process. Identifies and implements EPIC and/or 3rd Party… more
- Healthfirst (NY)
- …+ Direct experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, etc + Strong ... hospital partners_** including but not limited to roster maintenance and claim issue root cause analysis + **_Managing education/training regarding company-wide… more
- Molina Healthcare (Rochester, NY)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... issues related to provider, including but not limited to, Configuration, Business Systems , Encounters (inbound and outbound), Claims , Provider Services and… more
- Healthfirst (NY)
- …leads implementation of strategic plans in alignment with the future vision of Claims ,Healthfirst delivery system and the company. + Establishes and ... data quality, credentialing, and other areas that impact the Healthfirst delivery system + Evaluates, develops, and recommends strategic plans to ensure modern and… more
- Zurich NA (Albany, NY)
- Claims Call Center Representative 127686 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include ... different levels of complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex queries on to… more
- City of New York (New York, NY)
- …Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop the operational activities of ... such as DART, MAP, OCSS, OLA, OTDA, NYS Dept. of Health, DARB, MIS, AO- Systems , BFI, ACS, Dept. of Correction, Fair Hearing, Food and Nutrition Services (FNS) and… more
- Healthfirst (NY)
- …reporting and database technologies and ensure Healthfirst is leveraging existing systems to maximize optimal value. + Collaborate with Information Technology, ... teams to support effective department management including introducing new technology, system upgrades and reporting impacts and providing leadership dashboards to… 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
- Travelers Insurance Company (Melville, NY)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...by adhering to quality standards. + Utilizes diary management system to ensure that all claims are… more