- City of New York (New York, NY)
- …and adjust reports and correspondence affecting vendor accounts - Review and audit documents, claims , invoices and billing statements for vendor contracts ... for the unit - Interpret complex contracts for auditing purposes - Assist in audit preparations - Serve as a liaison with other DSNY departments and borough offices… more
- City of New York (New York, NY)
- …of Homeless Services (DHS). DSS-AO maintains the operation of the Office of Audit and Quality Assurance (OAQA), Office of Compliance & Support (OAS), Investigation, ... Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop the operational activities of… more
- Healthfirst (NY)
- …within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). + Experience with database reporting and automation, ... budgeting or internal audit processes. + Experience monitoring quality in a reporting and analysis environment. + Experience conducting root-cause analysis and… more
- Prestige Employee Administrators (Melville, NY)
- …+ Communicate with carriers and clients + Collect and maintain plan documentation + Audit plans + Claims assistance + Partner with Accounting to reconcile bill ... + Benefit system set up for new plans + Assist with Open enrollment: + Prepare the system for every client renewal change (benefits and contributions) for Open Enrollment + Update all benefit rules for every client and class for every benefit offered for… more
- AIG (New York, NY)
- …best meets clients' needs. + Working collaboratively with home office, distribution, actuary, claims , loss control, premium audit , credit and legal to develop ... and maintain a profitable portfolio of primary accounts business. + Adhering to underwriting rules and guidelines. + Ability to collaborate with other product lines to provide full product support to the client. + Strong relationships with brokers to ensure a… more
- Citigroup (Getzville, NY)
- …entries * Manage his/her aging and claim portfolio * Maintain up to date and accurate audit trails for all claims * Be prepared for weekly aging sessions to ... & Derivatives Associate Analyst is responsible for investigating and settling compensation claims internally and externally for the EMEA and NA Capital Market… more
- Warner Music Group (New York, NY)
- …financial statements, perform reconciliations, update cash forecasts and budgets, investigate audit issues and claims ** + **Follow department financial controls ... and policies, communicate deficiencies and gaps to management** + **Maintain vendor master data, input, code & co-ordinate payments** + **Build and maintain strong working relationships across the company (up to senior executives), follow up open work items,… more
- Molina Healthcare (Syracuse, NY)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen....+ Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act… more
- New York State Civil Service (Tarrytown, NY)
- …impact on the contract and to ensure continued compliance with applicable regulations.* Audit and process contract claims , and approve and review contract ... with the contract terms* Complete site visit to evaluate contracts, and audit to ascertain billing accuracy and compliance * Provide technical assistance related… more
- Elevance Health (Latham, NY)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of… more