- City of New York (New York, NY)
- …IMPORTANT NOTE: ONLY CANDIDATES WHO HAVE A PERMANENT PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE OR ARE REACHABLE ON THE PRINCIPAL ADMINISTRATIVE ... ASSOCIATE EXAM NO. 1128 WILL BE CONSIDERED FOR AN...compile information to update reporting spreadsheets. - Review violation claims against DOF records, such as Decision and Order… more
- City of New York (New York, NY)
- …PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The ... deliver critical services effectively and meet DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the Assistant Director and be… more
- New York State Civil Service (Albany, NY)
- …NY Zip Code 12242 Duties Description Under the general direction of an Associate Attorney within the Office of General Services ("OGS"), the Senior Attorney will ... include, but are not limited to:* Assists, through an Associate Attorney, with the negotiation, drafting, and review of...Attorney General in the evaluation of and response to claims pertaining to leasing matters against the State or… more
- Humana (Albany, NY)
- …CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion ... data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. + Deliver project-based and ad-hoc reporting for Medicaid… more
- Humana (Albany, NY)
- …**Required Qualifications** + Bachelors Degree + Minimum of 3 years of medical claims auditing experience (interpreting if claims initially paid correctly in the ... Payment Integrity (formally known as Financial Recovery) experience + CAS claims knowledge + Prior vendor relationship experience/knowledge + Intermediate knowledge… more
- New York State Civil Service (Schenectady, NY)
- …position will process quarterly Payer Penalty requests for review submitted by claims administrators. Specific duties include, but are not limited:* Demonstrate a ... sections of the WCL, Board policies and procedures, and claims handling procedures for WC claims .* Display...to technical questions from policyholders or claimants;Or 2. An associate 's degree and two years of full-time experience described… more
- Cognizant (Albany, NY)
- …: 2-3 years in healthcare revenue cycle. + **Education** : HS Diploma. Associate or bachelor's degree preferred. + **Technical Skills** : Proficiency in Excel, payer ... portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up...office **These will help you stand out** + **Examine Claims ** : Analyze denied and underpaid claims … more
- Teresian House (Albany, NY)
- …Care Organizations (MCO's) and private insurance. + Preparing and submitting claims , resolving billing issues, managing accounts receivable, and working with ... formats. Monitor and manage outstanding balances and follow-up on unpaid claims . + Communicating with families, residents and insurance companies regarding account… more
- MetLife (Oriskany, NY)
- …Customers Preferred: * Associate Degree * 2 plus years of hands-on claims management experience preferably * 5 plus years of Management * Proficient in Microsoft ... goals and objectives. * Identify, remove, and challenge barriers related to claims management. Escalate to senior leaders in the organization as appropriate along… more
- Humana (Albany, NY)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more