- Catholic Health (Buffalo, NY)
- …up action based on a payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or escalation to ensure payment. A ... team and interact with other departments + Knowledge of general office equipment operations and supplies + Understands and maintains the CONFIDENTIAL nature of the… more
- New York State Civil Service (New York, NY)
- …are not limited to:1) Provide reporting assistance for Unit Statistical Reporting (USR) operations that other staff perform in the unit and convey to the supervisors ... 1 include but are not limited to Administrative Analyst Trainee 1, Claims Services Representative Trainee 1, Contract Management Specialist Trainee 1, Underwriter… more
- AIG (New York, NY)
- …client-specific exposures and align with underwriting intent. + Work with Underwriting, Claims and Legal in drafting new policy forms and endorsements. + Support ... property casualty networks. It is an exciting time to join us - across our operations , we are thinking in new and innovative ways to deliver ever-better solutions to… more
- Stony Brook University (Stony Brook, NY)
- …Receive, screen, review, and verify documents and/or forms. + Review applications, claims , and other documents for completeness, content, and accuracy. + Establish ... work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.… more
- MVP Health Care (Tarrytown, NY)
- …justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law ... with and analyze data in cooperation with Pharmacy, Medical Affairs, Operations , Provider Relations, Credentialing, Customer Care Center, Legal and other corporate… more
- Charles Settlement House (Rochester, NY)
- …administration of the program. Job Duties + Manage all aspects of daily operations in the office including, but not limited to scheduling home visits, caseworker's ... Complete and distribute monthly calendars and newsletters to providers. + Submit monthly claims to Finance and CACFP. + Recruit and onboard new daycare providers. +… more
- Parsons Corporation (New York, NY)
- …design management, construction management, stakeholder coordination, federal compliance, operations support, office administration, and related services._ **What ... Program Office and SEP teams to develop negotiation strategies andcoordinate responses to claims and change requests. + Review and support the approval process for… more
- Molina Healthcare (Albany, NY)
- …DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and ... setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed… more
- City of New York (New York, NY)
- …technical assistance. Finance helps to ensure that programs and administrative operations have the information, analysis, funding and technical capacity to deliver ... systems and tools to support public health research and analysis to ensure claims submitted to the Grantors are accurate and timely. - Maintain research cost… more
- KPH Healthcare Services, Inc. (Ithaca, NY)
- …duties in pharmacy department to become familiar with staff functions, operations , management viewpoints and company policy and practices that affect pharmacy ... in the initial submission, and resubmission (as required) of all third party claims + Assist in the management of the pharmacy inventory, including transmitting,… more