- Capital Region BOCES (Albany, NY)
- …and other related information. + Processes checks, codes and files requisitions, claims , vouchers, bills and receipts. + Answers telephone and gives out general ... information or relieves at switchboard. + Processes, sorts, indexes, records and files a variety of control records and reports. + Occasionally operates miscellaneous office machines. + Prepares and maintains a variety of records and reports. + May be required… more
- Dal-Tile Corporation (Harrison, NY)
- …processing customer returns, and notifying management of damaged shipments for freight claims . + Operates crane forklift equipment. + Maintains clean and organized ... facility by sweeping, trash removal, restroom cleaning and general office maintenance, etc. + Maintains a safe working environment by obeying all safety rules as outlined in the Safety Program and by reporting all accidents, unsafe conditions and acts to… more
- Humana (Albany, NY)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in… more
- NBC Universal (New York, NY)
- …investigations of employment-related and other types of complaints, ensuring that claims are promptly and thoroughly investigated and documented appropriately + ... Represent the Company in the handling of all aspects of the pre-litigation process, including conducting internal investigations, drafting responses to federal and state agency charges of discrimination, and participating in mediation and drafting statements… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Financial Services department. What You'll Do + Handle and resolve assigned denied claims in multiple work queues including, but not limited to, eligibility and ... coordination of benefits, documentation requests and routine denials in a timely manner and in accordance with current departmental standards and performance metrics as they pertain to denials and various tasks. + Answers all incoming Denials team telephone… more
- Ideal Home Care (Hauppauge, NY)
- …including healthcare terminology, ICD-10, CPT, HCPCS coding systems, insurance claims , reimbursement processes, and regulatory compliance. + Instructional Methods: ... Utilize a variety of instructional techniques to accommodate different learning styles, including lectures, hands-on practice, real-world case studies, and interactive group activities. + Student Assessment: Evaluate student progress through quizzes, exams,… more
- NASCO (Albany, NY)
- …with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS ... Certified ML Engineer, Data Engineer, Azure Data Engineer, etc.) **Experience:** + 10 years of experience in Information Technology, with a focus on data design and management + 8 years of experience in enterprise data architecture and/or commercial SaaS… more
- Citigroup (New York, NY)
- …laws + Serve as a partner and advisor on employment contracts, claims of discrimination, and employment-related arbitration + Advise on all matters pertaining ... to human resources within the organization, specifically discrimination, employment contracts, immigration law, workplace safety, data retention, and privacy + Audit employment policies, practices, and compliance initiatives while identifying areas of risk + A… more
- GAP Solutions Inc (Albany, NY)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... disposition letter. + Researching and compiling information on the full range of federal HR topics. + Responding to and providing general HR guidance to applicants and staff, maintain employee files. + Provide wide ranging administrative support to managers… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …these domains for self-funded client implementation (Enrollment/Benefit Administration, Claims Administration, Portals, Finance, Reporting). + Strong leadership, ... time management, facilitation, and organizational skills. + Working knowledge of Payer Administration with client implementation and product enablement. + Strong analytical, problem-solving, and conceptual skills. + Strong working knowledge of change… more