- World Insurance Associates, LLC. (Syosset, NY)
- …resolving day-to-day customer inquiries and escalate issues related to eligibility and member claims + Develop and leverage knowledge of customer needs and issues to ... deliver world class service to our clients + Maintain accurate customer files and records for general reference and office use + Assist the account management team in managing the end-to-end process for customer interactions as well as carrier relationships… more
- FlexStaff (Melville, NY)
- …receivable and past dues, and coordinates resolution of customer chargeback claims , disputes, and billing issues. + Gathers credit and/or reference information. ... + Maintains database by entering, updating, and retrieving data, as well as formatting and generating reports. + Responds to inquiries from customers or external collection resources. + Coordinates/assists in the application of check, wire transfer, and credit… more
- Humana (Albany, NY)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness and medical necessity of services provided by other healthcare professionals in… more
- Bowman (Albany, NY)
- …and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but ... not limited to accounts payable, financials, timesheets, etc. + Assist with annual financial audit preparation as needed. **Success Metrics and Competencies** + Ability to work both independently and within a team environment. + Ability to effectively… more
- Catholic Health Services (Roslyn, NY)
- …corrective actions plans Responsible for professional liability discovery Attends claims litigation meeting Coordinates, investigates, trends and disseminates safety ... event data Adept in use of EPIC and MIDAS software Adept in policy management and development Participates in Environmental, Patient Safety, Performance Improvement and Privacy programs including risk assessments and rounding Conduct medical record reviews to… more
- Saratoga Hospital (Saratoga Springs, NY)
- …What You'll Do + Collect quality data using various methods of data sourcing-EMR, claims , provider / patient outreach. + Manage daily work using multiple systems and ... applications-EMR systems, payer portals, vendor platforms, Microsoft 365 for Excel, Word and PowerPoint, Microsoft Outlook and Teams for messaging and meetings. + Work with patient lists, gap lists, sourced health data and medical records in your daily work. +… more
- New York Power Authority (White Plains, NY)
- …and invoice documentation relating to projects. Evaluate and approve all change order claims and payment invoices. Work as a team member with other engineers inside ... and outside of NYPA to develop the most cost-effective project designs. + Provide project construction quality assurance for adherence to project specifications and compliance to state and local codes. Coordinate activities between contractors / consultants /… more
- Albany International Airport (Albany, NY)
- …collection and dissemination of data such as property or personal injury claims , unusual occurrences, and malfunctioning machinery or equipment for use of management ... staff. + In the absence of senior management, this position will represent the Airport Manager in routine operational matters and emergency conditions. + When assigned, inspect and monitor airport service levels. + Participates in Total Quality Management… more
- HUB International (New York, NY)
- …for presentation + Coordinating loss run delivery, loss summaries, detailed claims summaries, and loss displays for clients + Updating Exposure Spreadsheets ... in Excel and on Epic as clients and carriers make policy changes throughout the term + Serving as a Senior AE contact for the client - first stop on coverage questions and higher-level inquiries + Performing certificate reviews for less senior team members +… more
- FlexStaff (Melville, NY)
- …receivable and past dues, and coordinates resolution of customer chargeback claims , disputes, and billing issues. Gathers credit and/or reference information. + ... Maintains database by entering, updating, and retrieving data, as well as formatting and generating reports. + Responds to inquiries from customers or external collection resources. Coordinates/assists in the application of check, wire transfer, and credit… more