- University of Rochester (Brighton, NY)
- …accuracy, and completion including medical documentation. Determination of how to classify claims (WC- determine OSHA recordable, medical only or loss time or if ... multiple claims how to address concurrent DBL and WC claims ). Monitors, tracks, and maintains data for reporting requirements. Utilizes multiple systems to… more
- WMCHealth (Valhalla, NY)
- …for specialty medications, tracking expiring authorizations and renewals + Review claims and rejections to determine required follow-up, ensuring timely resolution ... continuity of care + Manage daily billing operations, including submission of claims and coordination with prior authorization technicians as needed + Process… more
- Molina Healthcare (Syracuse, NY)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... equivalent experience **Required Experience** 3 years supervision/management experience in Claims Processing or Provider Services environment and/or any high volume… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + Associates Degree or high school diploma/GED ... + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a...accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims , and writes appeal… more
- CVS Health (Albany, NY)
- …opportunities, and quantitative evaluation of clinical program outcomes using Rx and medical claims data. You will champion the value of the Product to CVS by ... optimize clinical program outcomes for members and clients, using claims and other program outcomes data + Championing the...care management programs and familiarity with Rx and medical claims + High attention to detail and ability to… more
- Leviton (Melville, NY)
- …recording and application of all customer cash receipts and the posting of claims and chargebacks. This role will evaluate, process, and resolve customer deductions ... Collaborate with outside sales, logistics, warehouse, and customers to resolve claims effectively. Process chargebacks and pursue recovery for invalid deductions.… more
- Molina Healthcare (Albany, NY)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- MTA (New York, NY)
- …strategy to drafting, soliciting and procuring, negotiating and awarding, and claims and change management. Develop strategic and consistent contracts and ... vendors in all contracts. Advises Delivery department leaders on contract enforcement, claims management, and merit determinations. Manages the claims process,… more
- AIG (New York, NY)
- …with primary responsibility for operational controlling as it relates to insurance claims disbursements, in close coordination with AIG's global claims function ... of activity. Key Responsibilities: * Driving the timely clearance of insurance claims disbursements through subledgers, ensuring cash is applied properly against … more
- MTA (Brooklyn, NY)
- …Authority, which includes the New York State Department of Labor claims processing, hearings, appeals, adjournments, remands and quarterly audits. Position will ... and efficiently in compliance with mandated deadlines. Review UI claims before submission to the DOL and also review...before submission to the DOL and also review NF claims before submission to various insurance companies. Serves as… more