- Molina Healthcare (Buffalo, NY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... unresolved errors issued on daily transactional audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital… more
- Sedgwick (Albany, NY)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... and Special Risks and Marine. As we expand our operations , we are seeking individuals who are passionate about...of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team… more
- Healthfirst (NY)
- …+ **Conduct moderately complex to complex quality audits of provider claims , pre-payments and post-payments including high-dollar and specialized claims ... issues identified through audits and recommended solutions relevant to business operations .** + **Assist management in preparing departmental reports policies and… more
- Public Consulting Group (Albany, NY)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Oak Orchard Health (Brockport, NY)
- …Holidays, and Company paid holidays! Responsible for managing the revenue cycle operations and liaison with the third-party billing organization to ensure proper ... processing of all payer claims . This would include research for accuracy, analyze reports,...par providers. + Manage vendors related with revenue cycle operations . + Manage staff and provide guidance and training,… more
- Healthfirst (NY)
- …setting + Experience with adult learning and development + Exposure to claims , provider payment, provider onboarding, or contracting operations within a ... by collaborating closely with peers, leaders, and staff throughout Operations to ensure the appropriate parties are contributing. +...Agile (SAFe) preferred. + Experience working with health plan operations and IT + Experience working as a project… more
- EAC Network (Garden City, NY)
- …with program directors, develop plans to address variances. + Process and submit claims requests within 10 business days of the end of each reporting period. ... external funder systems and kept current for use in claims and projections. + Collect and verify key cost...documents. + Coordinate with program, finance, HR, and internal operations teams to confirm that contract terms and deliverables… more
- City of New York (New York, NY)
- …is fully recorded, and that reimbursement received completely. The Office of Fiscal Operations is recruiting for one (1) Associate Staff Analysts to function as a ... Management System (FMS). - Analyze settlement of Federal and State claims filed for reimbursements for adjustments and offsetting funds. Perform reconciliation… more
- ASM Global (New York, NY)
- …talent deals for appropriate indemnification, hold harmless, and insurance provisions. 4. Claims Oversight and Coordination + Lead the organization's claims ... process by establishing clear protocols for reporting, documenting, and tracking claims related to incidents, property damage, liability, and other risk exposures.… more