- City of New York (New York, NY)
- …Office of the Corporation Counsel and other City agencies to investigate and resolve claims pre-litigation. The Claim Specialist II - Personal Injury Liability ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....from an accredited college or university; or 2. An associate degree or 60 semester credits from an accredited… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to business analysis. . Intermediate knowledge of PC, software, auditing tools and claims processing systems. Level II (in addition to Level I Qualifications) ... to Level II Qualifications) . Eight (8) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... and required. + Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Performs more complex investigations… more
- Healthfirst (NY)
- …+ Conduct moderately complex to complex quality audits of provider claims , pre-payments and post-payments including high-dollar and specialized claims ... to ensure the quality of the network. + Review and investigate claims and encounters for medical, facility, pharmacy, dental and vision services including… more
- Dal-Tile Corporation (Bethpage, NY)
- …and explore a career with Dal-Tile. Dal-Tile is currently seeking an exceptional **Warehouse Associate ** to join our TEAM! As the **Warehouse Associate ** , we ... customer returns, and notifying management of damaged shipments for freight claims . + Operates forklift equipment. + Maintains clean and organized facility… more
- University of Rochester (Rochester, NY)
- …party payer issues. **ESSENTIAL FUNCTIONS** + Reviews reports of unbilled cash claims , self-pay plans not final billed, hold bill worklists, statement edits, credit ... agency referrals. + Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + Associate 's degree and 2 years of relevant experience required + Or equivalent… more
- RailWorks (New York, NY)
- …counsel and claims consultants, as necessary. Compliance + Assists the Associate General Counsel in the administration of the compliance requirements for the ... / per year Position Summary The Project Counsel ("Counsel") reports directly to the Associate General Counsel for LK Comstock & Company ("LKC" or "Company"), with a… more
- City of New York (New York, NY)
- …Description APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE Family Independence Administration's provides temporary help ... responsible specialized administrative work supervising the functions of the City-wide Claims Units and/or supervising the functions of the City-wide Special… 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 ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...business experience, preferably in a healthcare setting; **or** an Associate 's degree and at least 6 months of business… more
- AON (New York, NY)
- Account Executive/Broker II - (Professional Liability) New York (hybrid) Provide detailed support to Senior Vice-President on complex Professional Liability, ... submission materials prepared by Assistant Vice President ("AVP") and Associate . + Prepare renewal strategy documents including benchmarking information and… more