- Evolent (Albany, NY)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- Tutor Perini (New York, NY)
- …and responding to FOIL requests (Freedom of Information Laws). - Assist with claims and dispute related issues (research, compile and redact). + Identifies critical ... required. + Strong background in cost/finance + Knowledge of legal/contract and claims processes + Proficiency with MS Office software ; familiar with industry… more
- Parsons Corporation (New York, NY)
- …detailed schedules for estimates and work to be bid. + Change orders and claims management. + Coordination with project teams, as needed, to analyze delays and ... + Mastery of the Primavera Scheduling Software (P6). + Change orders and claims management experience + Ability to read and interpret construction drawings and… more
- Tompkins Community Bank (Batavia, NY)
- …(CL) Department in the handling and processing of new and renewal business, claims and special projects. It will provide in-house customer service to clients, as ... and Expired Policies Report. + Assist with First Notice of Loss and Reporting Claims to carriers, setting up ImageRight for the Claim. + Process and mail… more
- Walgreens (Tappan, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- MTA (Brooklyn, NY)
- …litigation brought in state and federal trial, and appellate courts related to tort claims involving MTA agencies. The incumbent will have a very high level of ... to achieve the most favorable and cost-effective resolution of lawsuits and claims , in conformance with the most current legal precedent and ethical considerations.… more
- Northwell Health (Lake Success, NY)
- …for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, assisting in helping ... an account. Job Responsibility + Assists in processing and managing patient claims . + Assists in collecting payments from third party insurance carriers and… more
- City of New York (New York, NY)
- …the Office of Revenue that houses DSS Accountability Office (DSS-AO) (C&C). Claims and Collections (C&C) collects cash assistance overpayments from former cash ... account balances and collects monies when the balances exceed the allowable levels. Claims and Collections (C&C) is recruiting (1) one Fraud Investigator II to… more
- Sedgwick (Rochester, NY)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Evolent (Albany, NY)
- …public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related ... healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various sites of… more