- Bard College (Annandale On Hudson, NY)
- …travel and insurance records. Works with the College's insurance administrator with claims and necessary paperwork related to injuries covered but the Bard College ... insurance plan + Assists in communication with coaches, physicians, and other medical professionals + Relates necessary sports medicine information to visiting institutions and athletic training staff + Attends periodic staff meetings and select Bard College… more
- MTA (New York, NY)
- …of low-code/no-code platforms such as Power Platform. + Experience with Claims Management and Legal Case Management applications, and specify which products ... and modules. Origami knowledge is preferred. + Strong experience with Agile methodology and working with the Atlassian JIRA tool. + Overall understanding of programming languages and tools. Including Microsoft technologies, Visual Basic, PowerApps, MS/SQL, and… more
- Constructive Partnerships Unlimited (Queens, NY)
- …including the code of business conduct, 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. 5. Excellent verbal and written communication skills. 6. Ability to work flexible hours and/or days as necessary. SUPERVISES: Indirectly : Direct Care Staff : more
- Lowe's (Syracuse, NY)
- …dialogue with third-party logistics vendor partners to address and resolve claims and complaints related to In-Home Customer Delivery experiences. + Engage ... with the warehouse, supporting associate engagement, inventory management, and warehouse operations. **Minimum Qualifications** + 5 Years of supply chain leadership experience and high school diploma or GED **Preferred Qualifications** + 2 years of supply… more
- City of New York (New York, NY)
- …Attorneys assigned to the SLED Unit represent police officers in cases involving claims of misconduct. Similar to the Pre-Trial Unit, attorneys in SLED are assigned ... to handle pre-trial matters on a variety of different cases. To apply, please upload your resume and cover letter as one document under "resume." ASSISTANT CORPORATION COUNSEL - 30112 Qualifications Applicants must have graduated from an ABA approved law… more
- Rochester Regional Health (Rochester, NY)
- …manage and maintain all authorization accounts to increase billing of clean claims + Complete other duties as assigned Oncology Specific + Obtain prior-authorization ... on internal department orders for medications administered at oncology infusion locations; applicable to both new and established patients. + Review Oncology infusion orders for medical necessity per CMS, Manufacturer, or NCCN guidelines. Work with physicians… more
- Paychex (Rochester, NY)
- …multiple Paychex products. Ensures good customer relations are maintained and customer claims and complaints are resolved fairly, effectively and in accordance with ... Paychex policies and procedures. Proactively educates and informs clients, and initiates improvements based on client feedback. Has in-depth knowledge of at least one Paychex product. Solves complex problems; takes a new perspective on existing solutions. Acts… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …compliance issues to appropriate resources for investigation and resolution of claims adjudication issues. + Ensures that activities are conducted according to ... the policies and procedures of HealthDirect. + Supports HIPAA compliance efforts to ensure policies and procedures are appropriate to meet HIPAA requirements and identifying operational obstacles to compliance and working with other employees to identify and… more
- EFI Global (Albany, NY)
- …**Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional ... services.** **Collaborates with EFI's national team of forensic experts to leverage experiences and assist on projects.** **Education and Licensing:** **Requires Bachelor of Science degree in Engineering from an accredited college or** **university.**… more
- Molina Healthcare (Rochester, NY)
- …skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data. ... Collaborates with actuarial and operational staff to analyze, understand, modify, and communicate models and results. Makes recommendations to management based on relevant findings. Utilizes Power BI to display relevant reporting within a refresh cycle.… more