- University of Rochester (Albany, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... requires demonstrated knowledge and expertise in all aspects of coding operations , including staff management and supervision, office workflows, accounts receivable… more
- Capital Region BOCES (Albany, NY)
- …BASIC FUNCTION: The work involves responsibility for independently performing complex clerical operations and administrative support tasks for a unit in a Division. ... sorts and distributes incoming mail. + Checks, codes and processes requisitions, claims and bills. + Prepares and maintains financial, statistical and personnel… more
- Cardinal Health (Albany, NY)
- …legal advice and services in order to protect the organization's assets, operations and image. This function provides legal counsel related to commercial, corporate ... all company legal matters, manages outside counsel and manages legal operations . Legal Management provides strategic oversight, leadership and direction within the… more
- Molina Healthcare (Buffalo, NY)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... audits as needed + Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for each state +… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... public administration, public health, human resources management, management science, operations research, organizational behavior, industrial psychology, statistics, personnel administration,… more
- AIG (New York, NY)
- …product development analytics and performance measurement. They collaborate with Marketing, Operations and Financial Management. Actuarial Analyst Sr, AIGRM New York ... solutions to maximize risk adjusted profit. + Collaborate with claims department and underwriting team to reflect underlying trends...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- WMCHealth (Valhalla, NY)
- …associated data feeds, ensuring accuracy and compliance. + Develop and refine claims qualification logic and data feeds for contract pharmacy relationships. + Assist ... management experience + Understanding of inpatient, outpatient, retail, or specialty pharmacy operations + 3-5 years of experience in 340B compliance + Skills &… more
- WMCHealth (Valhalla, NY)
- …capabilities for secure data migration/transfers from external sources (eg, SPARCS, claims -based tools), oversee data extraction, and ensure data cleansing for ... accuracy and consistency. + Partner with Strategy, Enterprise Analytics, and Operations to understand key business questions and deliver data-driven insights that… more
- Ducommun (Coxsackie, NY)
- …of others. + Build and develop close relationships with cross functions ( Operations , PMO, SC, Finance, PI and Engineering). Policy, Procedure and Process ... including assisting with general benefit inquiries and online enrollment, claims resolution, collection of required documents, invoicing and payroll adjustments,… more
- City of New York (New York, NY)
- …equitable growth. Your Team: Within HPD's Office of Legal Affairs (OLA's), the Operations and Legislation Division handles and advises on legal matters related to, ... personnel and personnel working on agency contracts/projects); housing discrimination claims and fair housing-related issues generally; M/WBE initiatives; the… more