- Highmark Health (Albany, NY)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or ... participate in higher level AR tasks and projects, typically related to: Analysis and reconciliation of cash in transit discrepancies, Streamlining, development and documentation of AR policies or procedures, Reduction of AR balances and coordination of… more
- UHS (Vestal, NY)
- …with state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and ... complete patient medication records, ensuring confidentiality and compliance with HIPAA + Oversee the day-to-day operations of the retail pharmacy, including inventory management, ordering, and storage of pharmaceuticals + Ensure compliance with all federal,… more
- Capgemini (New York, NY)
- …Property & Casualty or Life Insurance + Functional knowledge of Underwriting, Claims , Policy Admin, Sales and Actuarial + Bachelor's degree in Business ... Administration, Management, or a related field; Master's degree preferred. + Significant experience in business process improvement, project management, or a related field. Experience with Guidewireor Majesco implementation advantageous. + Strong analytical… more
- UHS (Johnson City, NY)
- …with state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and ... complete patient medication records, ensuring confidentiality and compliance with HIPAA + Oversee the day-to-day operations of the retail pharmacy, including inventory management, ordering, and storage of pharmaceuticals + Ensure compliance with all federal,… more
- Capgemini (New York, NY)
- …a related field; Master's degree preferred. + Functional knowledge of Underwriting, Claims , Policy Admin, Sales and Actuarial + Significant experience in business ... process improvement, project management, or a related field. Experience with Guidewire or Majesco implementation advantageous. + Strong analytical and problem-solving skills. + Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word) and data analysis… more
- Constructive Partnerships Unlimited (Staten Island, NY)
- …the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training ... at least annually. Fully cooperates in all Corporate Compliance/Quality Management investigations and reviews. D. SUPERVISES Direct Care Staff (approximately seventy (70) staff) Shift Supervisor (approximately two (2) staff) more
- Colgate-Palmolive (New York, NY)
- …concepts into products on shelves and in people's homes by leading 1) claims development with cross functional team (legal, regulatory and knowledge management) 2) ... packaging design with internal and external design agencies 3) partnering with supply chain to bring products to life from manufacture to shipping to retail 4) lead R&D briefs to initiate technology development 5) liaise with Canadian regulatory counterparts… more
- Publicis Groupe (New York, NY)
- …+ Each Team member manages the reporting and reconciliation of all Co-op claims submitted to TMNA for their respective TDA Clients regions. + They must ... provide scripts, tear-sheets, and all proof of performance for each Co-op Budget as well as invoice copies for all Print & Digital Advertising + Reconciliations must be submitted to the Co-op Administrator within the strict deadlines mandated by TMNA + Other… more
- Outreach Development Corporation (Richmond Hill, NY)
- …collection. + Managing the collection process, including follow-up on outstanding claims and patient balances, and resolution of billing/denial issues. + Analyzing ... billing and collections data to identify trends, potential issues, and opportunities for process improvement. + Working with HR and program management, to make sure that the staff, whose services the client is being billed for, are qualified and meet the… more
- Walmart (Fishkill, NY)
- …area in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... identifying shrink and damages. Receives and stocks merchandise in the Optical area, and organizes and maintains the Optical area by following Company procedures, utilizing equipment appropriately, merchandising, and completing paperwork, logs, and other… more