- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …claim processing standard operating procedures as needed to ensure claims are processed according to company policies and contractual obligations. **This role ... of Rebates and Admin fees outlined in GPO contracts. + Effectively resolve all claims in an accurate and timely manner. Proactively review, analyze, and establish… more
- Evolent (Albany, NY)
- …set up the appeal, physicians and other clinicians who review the appeal, the claims department to review provider post-service claims for medical necessity, and ... plan. * Research requests for post-determination review and categorizes each for processing based on the applicable health plan policies and procedures. * Reviews… more
- City of New York (New York, NY)
- …as coordination with all program areas and FIA to troubleshoot payment processing issues, facilitate resolution as well as landlord communication and customer ... duplicate records are created. Review security voucher and SSAF claims submitted by landlords via CurrentNYC or by mail...- Review security voucher and Special Supplemental Assistance Fund claims submitted by landlords via CurrentNYC or by mail… more
- City of New York (New York, NY)
- …Senior Counsel, and Chief of Staff with projects as assigned, processing timesheets and invoices, monitoring email inboxes, handling correspondence and assigning ... or university and two years of full-time satisfactory experience investigating and/or settling claims for personal injury or property damage or loss; or 3. A… more
- City of New York (New York, NY)
- …AO, the Liens and Trusts is responsible for the settlement of liens and claims for recoupment of money expended in Medicaid and Public Assistance. The Estates Unit ... the Estates Unit represents DSS and asserts liens and claims against recipients' assets for the recovery of benefits...the Office of Legal Affairs as required for case processing or litigation. - Process Estates Recovery Cases as… more
- City of New York (New York, NY)
- …and/or systems. - Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy ... thousands of staff work hours, and single-handedly ensuring that over 80,000 claims are correctly processed. - Coordinate planning, set policies and prioritize the… more
- Robert Half Accountemps (Rochester, NY)
- …an opportunity to collaborate with healthcare professionals while managing claims and patient accounts efficiently. Responsibilities: * Verify insurance eligibility ... using current ICD-10-CM and CPT standards. * Submit electronic and paper claims while investigating and resolving insurance claim denials. * Post payments, including… more
- New York State Civil Service (Endicott, NY)
- …responsible for the following;. Accept and process both original and continued claims for Unemployment Insurance. . Conduct telephone interviews with claimants in ... benefits.. Determine the need for further fact-finding and place claims on hold pending further investigation. Work a variety...to do so may result in a delay of processing your application.Candidates from diverse backgrounds are encouraged to… more
- UIC Government Services and the Bowhead Family of Companies (New York, NY)
- …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Tutor Perini (New York, NY)
- …and responding to FOIL requests (Freedom of Information Laws). - Assist with claims and dispute related issues (research, compile and redact). + Identifies critical ... work plans. + Assists with monthly billings, cash flow projections, and processing change orders. + Reviews mock-up and/or shop drawings and specifications. +… more