• Utilization Management Representative

    Elevance Health (Latham, NY)
    …will make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility ; provides authorization for ... **Utilization Management Representative I** **Virtual:** This role enables associates to...purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position… more
    Elevance Health (08/08/25)
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  • Outside Sales Representative - Utility

    Graybar (Syracuse, NY)
    Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
    Graybar (07/03/25)
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  • Kinney Homecare Billing Representative

    KPH Healthcare Services, Inc. (Watertown, NY)
    …for collecting, posting and managing account payments. + Prepares and submits claims to various insurance companies and follow up when appropriate. + Prepare, ... continuous exclusion and sanction/disciplinary monitoring + Any and all additional eligibility requirements based on the specific position **Compensation:** $18.50 -… more
    KPH Healthcare Services, Inc. (07/15/25)
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  • Eligibility Specialist

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting ... SSL 348.2; 348.3 BFI is recruiting for (1) one Eligibility Specialist III to function as an Eligibility...other means for referral to the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP CR). - Review claims more
    City of New York (05/14/25)
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  • Eligibility Specialist

    Constructive Partnerships Unlimited (Manhattan, NY)
    Eligibility Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... preparing Medicaid and Social Security Administration (SSA) recertifications; completing representative payee and Supplemental Nutrition Assistance Program (SNAP) forms/application… more
    Constructive Partnerships Unlimited (08/08/25)
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  • Associate Risk Manager - Commercial Insurance…

    WTW (New York, NY)
    …acquisitions and divestitures, reviews contracts and fund agreements, tracks claims , and advises on insurance adequacy across investments. Note: Employment-based ... template and bespoke agreements used in daily operations. Negotiate language representative of current market standards + **Investments** 1. Proactively consult with… more
    WTW (07/17/25)
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  • Senior Director, RWE/Epi Scientist Internal…

    Pfizer (Pearl River, NY)
    …regarding this matter, please do not hesitate to contact your Talent Acquisition representative . **EEO & Employment Eligibility ** Pfizer is committed to equal ... of commercially available RWD in the US, including closed claims , open claims , structured EHR, unstructured EHR,...bonus target of 22.5% of the base salary and eligibility to participate in our share based long term… more
    Pfizer (08/02/25)
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  • Seasonal Opportunity - Consumer Service Operations

    Humana (Albany, NY)
    …client support, client services, client administration, customer service, enrollment and eligibility , claims processing, and call center operations. Investigates ... help us put health first** The Consumer Service Operations Representative 1 is responsible for the daily activities across...and settles claims and customer service issues. Decisions are limited to… more
    Humana (08/08/25)
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  • Manager, HR Business Partner

    MTA (Brooklyn, NY)
    …Authority, which includes the New York State Department of Labor claims processing, hearings, appeals, adjournments, remands and quarterly audits. Position will ... tasks are performed correctly and efficiently in compliance with mandated deadlines. Review UI claims before submission to the DOL and also review NF claims more
    MTA (07/23/25)
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  • Health Insurance Biller, Bureau of Revenue

    City of New York (New York, NY)
    …all necessary edits in the billing software. Perform and verify patient's insurance eligibility for all service areas of DOHMH Article 28/36 clinics. Obtain prior ... accuracy according to fee schedule. Perform claim reviews prior to submitting claims to payers. Communicate updated patient information with clinic teams to ensure… more
    City of New York (05/24/25)
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