- Gates Chili Central School District (Rochester, NY)
- …role will also work with key staff to handle harassment investigations, unemployment claims , and workers' compensation claims . The Director of Personnel will ... HR goals of the district. This position reports directly to the Assistant Superintendent for Personnel and Labor Relations. Compensation/Pay Range*:$105,000 based on… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine...in health care (ie, certified coder, billing, or medical assistant ). To all current Molina employees: If you are… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for employee development and promotional opportunities. All Levels + LPN, Medical Assistant , Health Plan customer service or claims processor experience with ... and related health plan functions such as member services, claims , and the referral process. As well as functions...clinical staff. + Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to… more
- Molina Healthcare (Buffalo, NY)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected or denied… more
- Rallye Motor Company (Westbury, NY)
- …the customer or by the warranty. + Work and enter third party tire claims through various electronic applications. Shop Assistant / QC Tech Responsibilities: + ... Examine and test-drive all vehicles to ensure that the cause of vehicle malfunctions and recommend/ perform repairs are completed. Communicate all discrepancies to the Service Manager. + Road test vehicles as required or refer to the inspection technician as… more
- MTA (Brooklyn, NY)
- …OA/TA Department: General Counsel Division/Unit: Torts Reports to: Deputy Executive Assistant General Counsel/ Assistant General Counsel (I, II, III) Work ... from inception to resolution. + Handle, complex, high-exposure personal injury claims during all phases of litigation, including statutory hearings, depositions,… more
- Oak Orchard Health (Brockport, NY)
- …the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through ... the third-party billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working closely… more
- City of New York (New York, NY)
- …providing services for NYC uninsured and under insured residents. Reporting to the Assistant Director of Patient Billing by working alongside a team of talented ... in the revenue cycle Job Duties and Responsibilities: - Work closely with the assistant director to oversee billing and collection activities within the unit. - Run… more
- Sharecare (Albany, NY)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... + Coordinate issue resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or… more