- Northwell Health (New Hyde Park, NY)
- …modifiers. + Knowledge National Correct Coding Initiative (NCCI) edits and their impact on claims + Ability to analyze large datasets (eg, claims data, denial ... trends) to identify patterns, root causes of errors, and areas of revenue leakage or opportunity. + Proficiency in using tools like Excel for data manipulation and analysis. Additional Salary Detail** The salary range and/or hourly rate listed is a good faith… more
- Robert Half Finance & Accounting (Albany, NY)
- …Responsibilities: * Oversee existing insurance policies to ensure audits, reports, and claims are managed in compliance with New York State regulations. * Assist ... policyholders by addressing claims , providing educational materials, verifying coverage, and delivering proof of insurance. * Identify and pursue new business… more
- New York State Civil Service (Albany, NY)
- …Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on complex ... provides comments on design-phase project documents.Essential Functions* Review and analyze claims in coordination with internal and external project staff by… more
- Axis (New York, NY)
- …Casualty book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes ... assessing the impact of these on the account's profile and emerging claims experience. + Maintain the feedback loop of information and analyses between… more
- Amentum (Albany, NY)
- …appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with ... defense sectors.** + Deep knowledge of insurance products, risk financing, claims management, and enterprise risk practices. + Strong negotiation, communication, and… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …proceedings. + Support the Risk Manager in tracking insurance-covered litigation matters. File claims with insurance companies for claims and lawsuits as needed. ... + Draft advocacy letters and responses to administrative complaints. + Legal research and writing. + Perform other related duties as assigned. COMPETENCIES + Excellent business writing skills (professional writing sample will be required). Previous legal… more
- Robert Half Finance & Accounting (Albany, NY)
- …programs, products, and services. * Process applications and documentation for new claims or policy transfers, ensuring timely submissions. * Manage new and transfer ... * Experience in processing and managing Workers' Compensation applications and claims . * Proficiency in database management and record-keeping systems. * Excellent… more
- Humana (Albany, NY)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access, PowerPoint) + Working knowledge of SQL + Familiarity with EDI X12 formats… more
- CVS Health (Albany, NY)
- …work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including health insurance, PBM or… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... **Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and… more