- Trinity Health (Albany, NY)
- …required but a plus. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical ... to identify any outbound referrals and communicate back to Manager for any improvement opportunities + Ensures all billable...all billed services are submitted to insurances as "Clean Claims " + Works within the working queue to review… more
- Molina Healthcare (Yonkers, NY)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Mount Sinai Health System (New York, NY)
- …payors, billing manager and verifies information regarding unpaid and late claims . 8. Assists in the development and implementation of department policies and ... High School Graduate + 3 years experience with medical billing and claims . **Responsibilities** 1. Oversees work of non-supervisory employees engaged in processing … 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
- NBC Universal (New York, NY)
- …matters, including general commercial disputes, media litigation (including defamation claims and journalist privilege issues), employment litigation, privacy ... claims , consumer protection claims , intellectual property claims (both affirmative and...three days per week. Subject to change based on Manager discussion or business need. + This position is… more
- Independent Health (Buffalo, NY)
- …phone calls. The COB Coordinator will also be responsible for basic claims adjudication, performing basic claim adjustments and working defined reports. The COB ... maintain an acceptable level of production as outlined in the Claims /COB Performance Management Policy with minimal supervision and demonstrate basic problem-solving… more
- Sedgwick (Albany, NY)
- …guidelines. + Maintains ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case Manager arrives onsite. ... updates to the customer, and assigns a Field Case Manager (FCM) for onsite visits as appropriate. Ensures that...Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured… more
- Transdev (Hillburn, NY)
- …safety evaluation logs, files and tracking of safety reports. + Assist the Safety Manager in working with corporate claims staff to ensure that all liability ... recoup on all claims subject to subrogation. + Assist the Safety Manager in the complete and accurate documentation of safety activities and the accurate… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Under the direction of the Manager of LTC Benefits, the LTC Benefits Planner (Personal Care Advisor) has the responsibility of evaluating ... Insured, Insured's family, care providers, and adjudication of the claims . All work is directed under the terms and...staff, members and providers. + Provides backup for the Manager , whenever necessary. Participates in the orientation of new… more
- Zurich NA (New York, NY)
- …have the flexibility to work on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports you, our customers, and our brokers ... be filled at either a Mid-Senior or Senior Underwriter level. The hiring manager will determine the appropriate level based upon the selected applicant's experience… more