- 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
- Brighton Health Plan Solutions, LLC (New York, NY)
- …agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service Representatives ... + Handle inbound calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address customer needs and concerns… more
- AON (NY)
- …by delivering innovative and effective solutions as part of our Private Risk Management business group within Aon Risk Solutions. You will prospect for business ... prospects to determine insurance needs, inspecting current insurance policies, risk management plans, property, products, and records + Collect detailed risk and… more
- Walmart (Greece, NY)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Molina Healthcare (Albany, NY)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic needs into… more
- WMCHealth (Kingston, NY)
- …Internal Applicant link Job Details: Responsible for filing insurance claims to third party payers in a timely manner. Also ... responsible for followup of unpaid claims in an effective manner. RESPONSIBILITIES + Is responsible...to billing correctly and accurately, reports repetitive edits to management for system correction. + Promotes/portrays a high level… more
- WTW (New York, NY)
- …acquisitions and divestitures, reviews contracts and fund agreements, tracks claims , and advises on insurance adequacy across investments. Note: Employment-based ... + **Finance, Accounting, FP&A** 1. Determine appropriate annual insurance and risk management budget across all insurance categories and advisory services 2. Report… more
- Sedgwick (Buffalo, NY)
- …involved in the claims process + Other duties as assigned by management or as needed. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as ... with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and… more
- Sedgwick (Albany, NY)
- …General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more