- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... IRC recommendations. 5. In conjunction with the assigned Incident Management Investigator Specialist, prepares investigative reports and forwards completed reports… more
- Molina Healthcare (Albany, NY)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Molina Healthcare (Albany, NY)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... Analysis** + Use a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Apply understanding of… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the...IDX on a timely basis. + Provides comprehensive denial management to facilitate cash flow. Tracks, quantifies and reports… more
- Trinity Health (Albany, NY)
- …required but a plus. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical ... Trinity Health Front End Metrics and working with Practice Management to identify educational opportunities as necessary. + Responsible...all billed services are submitted to insurances as "Clean Claims " + Works within the working queue to review… more
- Molina Healthcare (NY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... to contracting (benefit and provider), network management , credentialing, prior authorizations, fee schedules, and other business requirements critical to claim… 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 ... reviewing patient statements, payment arrangements across organization, sliding fee management , etc. Oversight of all activities related to billing at… more
- City of New York (New York, NY)
- …from the Public Administrator's offices to determine if it is known to the Welfare Management System (WMS). - Prepare and run Claims Detail Reports (CDRs) of ... Revenue and Enforcement Administration (IREA), Office of Data Security Management (ODSM) and the Vendor Monitoring Office (VMO). The...Trusts is responsible for the settlement of liens and claims for recoupment of money expended in Medicaid and… more
- Sedgwick (New York, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- MTA (Brooklyn, NY)
- Transit Management Analyst Trainee Job ID: 12671 Business Unit: New York City Transit Location: Brooklyn, NY, United States Regular/Temporary: Regular Department: ... NYC Transit Authority Date Posted: Aug 11, 2025 Description Job Title : Transit Management Analyst Trainee First Date of Posting : August 11, 2025 Last Date of… more