- TEKsystems (Queens, NY)
- …of fraud. + Independently review, examine, and decision fraud and merchant dispute claims submitted by members to minimize the credit union's loss exposure, increase ... transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... and documents for reports and presentations. - Provides support to office operations including filing, copying, faxing, word processing and other related duties. -… more
- New York State Civil Service (Binghamton, NY)
- …the RO's support staff. The AAGIC will manage the RO's dockets and daily operations with an emphasis on the direct supervision of the region's affirmative and ... of hundreds of cases in State Supreme Court and the Court of Claims . Other responsibilities include maintaining an active caseload; reviewing and assigning incoming… more
- Centene Corporation (Queens, NY)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Evaluates ... group experience, provider relations, quality improvement, utilization management, or clinical operations . Project management experience at a medical group, IPA, or… more
- Trinity Health (Albany, NY)
- …Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management ** OPERATIONS /COMPLIANCE:** Is responsible for data management, investigation & reporting. ... Works with leadership to develop risk mitigation plans associated with litigated claims . Ensures that patient care-related incidents are reported to Trinity System… more
- Estes Express Lines (NY)
- …issues, including Hazmat Materials + Verify and process paperwork and procedures concerning claims , charges and tracing of freight + Scan and/or image bill of lading ... and comply with written information and documents such as safety rules, operations / procedure manuals and maintenance instructions with a high comprehension and… more
- UNUM (New York, NY)
- …+ Support pre-sale, preparation of presentations, customer/broker call prep, benchmarking, claims experience and competitor analysis through Unum's internal tools. + ... TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field… more
- Catholic Health Services (Melville, NY)
- …Management coding. Ensure that the coding is appropriate prior to releasing the claims to be billed. Identify trends and opportunities for improved documentation and ... + Minimum of 1 year coding experience + 1-2 years practice operations /revenue cycle experience. + Knowledgeable in electronic health record systems + Microsoft… more
- Air National Guard Units (Westhampton Beach, NY)
- …provide a copy of Official Transcripts as documentation to support your educational claims . To receive credit for Education, you must provide documentation of proof ... health degrees and training as identified in AFI 44-119 (Medical Quality Operations ) are acceptable. Candidate must be a fully qualified Mental Health professional… more
- KPH Healthcare Services, Inc. (Saranac Lake, NY)
- **Overview** **Scope of Responsibilities:** Oversees the day-to-day operations of the Pharmacy department. Assists in the training and development of subordinate ... + Oversees the initial submission, resubmission and collection of all third party claims + Manages and balances the pharmacy inventory to provide for maximum turns… more