- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …monthly, quarterly, and annual management reports for PBM clients, and from our Claims Processor + Assist with on-site resolution of customer service issues to ... clients + Training, coaching and development of call center staff + Assist with determining staffing/scheduling needs for ProAct Call Center + Providing call resolution in elevated customer service issues + Daily coaching and audits + Create and update… more
- CP Unlimited (Wappingers Falls, NY)
- …the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all corporate compliance investigations and reviews. more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient accounts, resolving ... denials, and fielding all incoming correspondence. Answering incoming phone calls from patients pertaining to billing, insurance, and payments. Minimum Qualifications: High School degree or equivalent and two years clerical support in a medical billing… more
- Capital Region BOCES (Albany, NY)
- …of daily, weekly and monthly reports which are compiled into summary reports or claims for state or federal reimbursement. + Prepares in final format accounting and ... financial statements, payrolls, statistical tabulations and data, form letters, memoranda, vouchers, reports, requisitions or data from various equipment as the source material. + Prepares funds for deposit into book accounts; reconciles accounts and prepares… more
- Axis (Alfred, NY)
- …of Reinsurance Accounting with significant experience in a Technical Accounting and/or Claims role. + Experience in collateral creation and maintenance. + An ... understanding of the key components of collateral requirements. + AR & Unallocated Cash experience. **What we prefer you to have:** + Excellent communication and collaboration skills to work effectively with diverse teams. + Ability to build and maintain… more
- City of New York (New York, NY)
- …release. - Assist clients with the completion of and filing of victim compensation claims with the State Office of Victim Services. - Prepare letters and forms to ... assist with other entitlements. - Advocate with public and private agencies. - Escort clients to court and confer with Assistant District Attorneys. - All other duties as assigned. Able to work Monday- Friday 11am- 7pm. COMMUNITY ASSOCIATE - 56057… more
- Sumitomo Pharma (Albany, NY)
- …and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office ... of the Inspector General's Compliance Program Guidance for Pharmaceutical Manufacturers. + The specialty representative role will require territory coverage of a potentially large geographic area, which may include occasional overnight travel. **Key Core… more
- Zurich NA (New York, NY)
- …& forecasting including IFRS 17 elements. + Collaborate regularly with Underwriting, Claims , Finance, and Pricing to develop insights on trends and emerging issues ... on the insurance portfolios. + Engage and seek alignment with Pricing colleagues on loss ratios. + Communicate reserve recommendations with financial impacts along with insights derived from reserving work to management within Actuarial, Finance, and… more
- Trinity Health (Troy, NY)
- …with completing New York State Office of Victim Services compensation claims , crisis counseling and trauma therapy, advocacy, and accompaniment through the ... criminal, family, and civil court proceedings. In addition, responsibilities of the Senior Social Worker/LMHC include the provision of trauma-informed therapy to 10 to 15 weekly CVS clients, supervision of clinical staff members- including those pursuant of… more
- WMCHealth (Valhalla, NY)
- …associated data feeds, ensuring accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist ... in the implementation of new software programs and support necessary business practice changes. + Ensure acquisition pricing updates are correctly reflected in the Pharmacy Information System on a monthly basis. + Auditing & Compliance Oversight + Develop and… more