- KPH Healthcare Services, Inc. (Syracuse, NY)
- …for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical ... be required. Travel to healthcare providers and to various business and management conferences required. Travel to Facilities for periodic training and review.… more
- Mount Sinai Health System (New York, NY)
- …External contacts include third party payers, prescription benefit management companies, governmental peer review organizations, and referring physicians. ... primarily responsible for receiving prescriptions, addressing and rectifying rejected claims , conducting and completing necessary third party (insurance) prior… more
- Robert Half Finance & Accounting (Amherst, NY)
- …+ Implement and utilize the leave module in the HRIS system for efficient management of leaves + Process NYS Unemployment Claims , dispute inaccurate claims ... + Handle the processing of disability, FMLA, PFL, and workers' compensation claims , and ADA accommodations + Oversee the processing for Workers Compensation and… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …any time with or without notice. Primary Responsibilities + Thorough review of claims and medical documentation. + Prepare cases for clinical review. + Resolve and ... expedition of customer requests. + Research and document pertinent information on claims requiring adjudication. + Assist Customer Service in responding to and… more
- Saratoga Hospital (Saratoga Springs, NY)
- …the support for all leave of absence cases. Effectively coordinates all cases/ claims to include general administration, comprehensive case management and program ... employees, directors,' and senior managers. Provide assistance to Employee Health in the management of Worker's compensation leaves. What You'll Do + Serves as the… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE MANAGEMENT AUDITOR CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. IF ... YOU ARE HIRED PROVISIONALLY AS A MANAGEMENT AUDITOR, YOU MUST TAKE AND PASS THE ...standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or… more
- City of New York (New York, NY)
- …Revenue and Enforcement Administration (IREA), Office of Data Security Management (ODSM) and the Accountability Initiative and Change Monitoring (AICM). ... Data Analytics & Verification who will: - Oversee the management , administration, and operation of the office of Data...- Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner,… more
- World Insurance Associates, LLC. (Syosset, NY)
- …employee benefits, financial and retirement services, and human capital management solutions. Position Overview The Account Manager supports day-to-day service ... a wide variety of projects supporting the design, financials, delivery, ongoing management , and communications of group benefits programs for EB clients. This… more
- Walgreens (Poughkeepsie, NY)
- …including both front end and pharmacy. Supports pharmacy inventory management activities, including receiving, counting, ordering, and facilitating returns. ... and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed),… more
- New York State Civil Service (Albany, NY)
- …Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on complex ... high degree of variables including budget, schedule, number of contracts, management approach, delivery method, level of service, phasing, customer orientation,… more