- Stony Brook University (East Setauket, NY)
- …investigating, reviewing and following-up on rejected/denied inpatient and outpatient hospital claims . + Knowledge of CPT, HCPCs and ICD-10 coding principles. + ... Experience with Cerner Invision and/or Cerner Millennium Patient Accounting Experience in Insurance Verification. **Special Notes** **:** **Resume/CV should be included with the online application.** **Posting Overview** **:** This position will remain posted… more
- Mount Sinai Health System (Elmhurst, NY)
- …information from the accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs of coded work. Assures ... that operative reports and other third party regulatory information are pertinent to coding requirements. Works with management and the billing vendor daily, on edit list and/or requests for additional information as to reduce denials and accounts receivable.… more
- Albany International Airport (Albany, NY)
- …data for such incidents as property damage, personal injury claims , unusual occurrences, irregular operations (IROPS) and malfunctioning of machinery/equipment ... for by management. + Assists with enforcing noise abatement regulations by receiving and logging noise compliant + Patrols buildings and land-side grounds of Airport, including the public and lease hold areas of the terminal facility, the public and rent-a-car… more
- Molina Healthcare (Albany, NY)
- …focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... + Attends or chairs committees as required such as Credentialing, P&T and others as directed by the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the… more
- GE Vernova (Schenectady, NY)
- …& Partners in Protection (PIP), foreign trade zones, bonded warehouses, duty recovery claims , etc. + Support of import and export permits & licensing and other ... regulatory agency determinations and preparation of relevant documentation. + Initiate and manage region key performance indicators (KPI's) and metrics on duty, quality, savings, risks, and value creation for Compliance dashboards and reporting. + Evaluate… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Key responsibilities include: Liaison Responsibilities: Assist in coordinating small claims paperwork in collaboration with the NYS Attorney General's Office. ... Committee Coordination: Schedule, plan, and facilitate meetings for the Patient Experience Steering Committee, Patient Experience Champion Committee and the Patient & Family Advisory Council (PFAC). Data Management and Reporting: Prepare reports and maintain… more
- Robert Half Legal (Garden City, NY)
- …case management and document management software. * Handle consumer complaints and claims , ensuring timely resolution and adherence to legal requirements. * Conduct ... legal briefings and provide guidance on civil litigation matters as needed. * Support the legal team in claim administration processes and other related activities. Requirements + 3+ years of legal experience + Must have active bar license (NY preferred) +… more
- City of New York (New York, NY)
- …interpretations of specifications and contract drawings, and other contract disputes and/or claims . - May monitor change orders in routine reconstruction projects or ... new or major construction projects. - May develop procedures and instruct staff on administrative procedures. - May act as liaison with operational staff within the agency. - Monitor, audit, and inspect capital construction projects in all project lifecycle… more
- City of New York (New York, NY)
- …materials, or workmanship; compiles contract and project documentation bearing on these dispute claims . - Acts as liaison with the community and members of the ... public. Prepares reports and correspondence for approval in dealings with contractors and the public, etc. In the event of any unlawful activity on the construction site, acts as the City's representative in the filing of complaints with the Police Department… more
- Genesis Healthcare (Southampton, NY)
- …within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in required orientation and training ... programs. 3. Promptly reports concerns and suspected incidences of non-compliance to supervisor, Compliance Liaison or to the Compliance Officer via the Integrity Hotline. 4. Cooperates with monitoring and audit functions and investigations. 5. Participates,… more