- Tutor Perini (New York, NY)
- …and review project correspondence, letters, and notices in coordination with day-to-day operations . + Review owner notices, document and assess impacts, and present ... directive processes, including cost/quantity evaluations and negotiations. + Prepare monthly ** Claims Cost Reports** . + Produce cost reporting (internal and… more
- Highmark Health (Buffalo, NY)
- …to provide office based, hands-on assistance services (ie, chart reviews, mass claims adjustments, UDC processes, etc.) to PCPs enrolled in Medicare STARS, Medicaid ... and conflict management + Demonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in primary care and… more
- Access: Supports For Living (Middletown, NY)
- …for the day-to-day oversight and strategic leadership of billing operations , payment posting, collections, and insurance verification/authorizations. This role ... collections, and payment processes. + Maintain a clear understanding of claims processing, payer denials, and appeals. + Prepare recurring and adjusting… more
- AIG (New York, NY)
- …close co-ordination with AIG subject matter experts and robust reviews of claims history and general company information. + Your relationships with brokers will ... 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
- MTA (Brooklyn, NY)
- …documents (RFI's, AWO's, inspections, testing, submittals, O&M manuals, training, warranty claims , invoices etc.); field visits to ascertain project activities and ... issues. Manage project activities to allow for minimal impact on agency operations and the public. Ensure project activities are following established requirements… more
- Molina Healthcare (Albany, NY)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but… more
- MTA (Jamaica, NY)
- …review & response, analysis, emergency inspection, accident investigation and claims investigation. REQUIRED EDUCATION AND EXPERIENCE: + Bachelor's Degree in ... LEVEL 2 or greater. + Knowledge and experience of the LIRR system and operations . + Knowledge and experience managing 3rd Party Service contracts and estimating fire… more
- Mount Sinai Health System (New York, NY)
- …of experience in clinical acute clinical, utilization management, appeals management or related operations + 3+ years in a leadership or management role + Strong ... + Insurance: Understanding of benefits verification, coverage determination, or claims workflows + Fintech/IT: EPIC **Describe Work Environment** Office-based May… more
- New York State Civil Service (Albany, NY)
- …status and significant developments in SUNY System Administration and campus lawsuits, claims , and legal developments in areas affecting SUNY and campus ... operations .The Associate or Senior Counsel will be a member of the General Affairs & Intellectual Property Practice Group and will work with OGC's practice groups,… more
- iPostal1 (Montebello, NY)
- …with mail center partners. Specialized Transfer Services Support: Transfer Operations Support Agents will handle various specialized services, ensuring accurate ... offices and clearly communicating mail forwarding options to customers. + Handling claims and escalations related to lost, delayed, or undelivered items, tracking… more