- City of New York (New York, NY)
- …public to perform a preliminary assessment of the individual's needs and/or claims of discrimination. - Perform data entry, generate letters, and otherwise ... electronic information storage system in order to facilitate agency operations . - Maintain an organized, retrievable filing system. -...to advance the work of the LEB. HUMAN RIGHTS SPECIALIST (COMM - 55018 Qualifications 1. A baccalaureate degree… more
- Highmark Health (Buffalo, NY)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... and conflict management + Demonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in primary care and… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Health Plan Operations , Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- The Institute for Family Health (New Paltz, NY)
- …to 10 Years Experience, Education, Certification) SUMMARY: The Revenue Cycle Operations Coordinator is cognizant of the philosophy, standards, objectives and ... companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider credentialing and… more
- CDM Smith (Albany, NY)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- City of New York (New York, NY)
- …Director. The Senior Executive Director will be responsible for managing the day-to-day operations of a team responsible for client intakes and referrals through a ... the Senior Executive Director will also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how to process VA claims… 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
- Sumitomo Pharma (Albany, NY)
- …Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) ... Oncology (Albany, NY).** In this field-based role, the Prostate Cancer Sales Specialist will focus on achieving sales goals within the prostate cancer therapeutic… more
- 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
- Gerber Collision & Glass (Albany, NY)
- …NY Glass America is a respected leader in the auto glass industry. As a Claim Specialist , you are a key member of Glass America's shop operations team and ... + Have a sense of urgency when filing insurance claims with and/or without customers on the line. +...Follow our step by step process to File Insurance claims , order OEM glass, and receive necessary approvals from… more