- Sedgwick (Albany, NY)
- …treating physicians to conduct a peer review of medications used on specific claims and provides insight for drug interactions, health and safety concerns, and ... cases. + Consults with pharmacy UR team for difficult claims requiring weaning schedule. + Assesses needs, gives appropriate...complex review of cases to identify referral for case management as needed. + Participates in client meetings and… more
- University of Rochester (Rochester, NY)
- …complex high dollar claims . + Identifies and clarifies issues that require management and intervention to avoid loss of revenue. + Recommends filing of a formal ... to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve… more
- City of New York (New York, NY)
- …the Senior Executive Director will also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how to process VA claims ... DVS health screeners are connected to mental health resources. Process VA Claims , Provide Veteran Benefits Counseling: Possess high-level knowledge of processing … more
- Mount Sinai Health System (New York, NY)
- …High School Graduate + 3 years experience with medical billing and claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing ... claims , maintaining related files and logs, and checking patient...financial/billing statistics related to area activities as requested by management . 11. May assist in interviewing of new staff… more
- Elevance Health (Latham, NY)
- **Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for precertification… more
- City of New York (New York, NY)
- …The Department of Probation is seeking to hire a Timekeeping and Leave Management Director who will oversee all agency's Timekeeping and Leave functions using ... in compliance with current Federal/State/City mandates. - Ensuring that Worker's Compensation claims are processed in a timely manner. - Reviewing and signing off… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... state funding, providing technical support, financial analysis, data retrieval and financial claims support to DSS and other City agencies, responsible for the… more
- MTA (New York, NY)
- …to the Deputy General Counsel and be accountable for providing legal counsel, contract management , procurement, risk management , and policy advice to MTA C&D ... executives and management on a broad range of issues to protect...provides legal advice on all construction contracts, litigation and claims , and change orders, as well as third-party… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …for improvement to Revenue Cycle leadership in the planning, implementation, and management of the operations and daily workflows of the Revenue Cycle team. ... 70% Auditing and Corrective Action + Evaluates charge capture, claims scrubbing and sliding fee discount practices to ensure...underpayment, and aging A/R + Reports to Revenue Cycle Management , Affiliate HS/RC Monthly meetings, and Quality Risk … more
- Transdev (Hillburn, NY)
- …standard Corporate Policy. Key Responsibilities: + Provide regular reports to local management staff of safety department efforts, claims status, training ... all related audits. + Assist with the administration and management of credential checks and upcoming expirations. + Ensure...+ Assist the Safety Manager in working with corporate claims staff to ensure that all liability and Workers'… more