- GAP Solutions Inc (Albany, NY)
- …waiver and hearing requests. + Scanning documents into various personnel record systems . + Assisting with drafting SOP's. + Processing personal liability insurance ... reimbursement claims . + Initiating tentative selection notifications, notice of results...SharePoint, Oracle, Java Script, SQL, and other information technology system .** This job description is not designed to cover… more
- City of New York (New York, NY)
- …within the unit by distributing and monitoring work. Ensure all applications, claims and enforcement initiatives are processed in a timely manner. - Distribute ... and laws. - Research payments with the lockbox vendor, system of record (STARS), and other DOF units. -...timely processing. - Review and analyze new DOF modernized systems for use by the Fleet and Rental unit.… more
- Aston Carter (Newburgh, NY)
- …external members. The ideal candidate will bring advanced knowledge of banking systems , strong problem-solving skills, and a collaborative mindset to help drive ... transactions. + Resolve complex member inquiries and disputes, including fraud claims and chargebacks. + Oversee regulatory reporting and compliance processes, such… more
- Evolent (Albany, NY)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... and health plan guidelines. + Conduct research and analysis of case documentation, claims data, and medical records to ensure case files are complete. Contacts… more
- Molina Healthcare (Buffalo, NY)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation for further review. + Research issues ... utilizing systems and other available resources. + Assures timeliness and...**C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service… more
- FlexStaff (New York, NY)
- …standards for use within the Residences and the department. Develops and implements systems for monitoring the provision of services. Is a support to our affiliates ... Survey standards for BIS services are met. + Develops and implements a system of in-service trainings for all agency staff, including orientation training. +… more
- Pfizer (New York, NY)
- …financial assistance brochures. + Reactively assisting HCP offices with coding and claims -related issues by contacting payers to understand policy or procedures and ... provide information on payer requirements. + Compliantly use Pfizer's designated case notes system The Field Reimbursement Manager is to be the subject matter expert… more
- WMCHealth (Valhalla, NY)
- …NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Patient Accounts-WMC Health Union: No Position: Full Time ... Summary: The Payment Resolution Analyst processes all out of network insurance claims to ensure appropriate payments are received, negotiates payments with payers,… more
- City of New York (New York, NY)
- …for them to move out of the criminal and juvenile justice systems through meaningful education, employment, health services, family engagement and civic ... In summary, DOP ensures that people who enter our system are supervised according to their risk level and...with current Federal/State/City mandates. - Ensuring that Worker's Compensation claims are processed in a timely manner. - Reviewing… more
- City of New York (New York, NY)
- …liaison with other DSNY departments and borough offices - Utilize agency computer systems , Financial Management System (FMS), and PASSPort - Assist in ... reports and correspondence affecting vendor accounts - Review and audit documents, claims , invoices and billing statements for vendor contracts - Prepare fiscal… more