- Humana (Albany, NY)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Possess 10+ years of progressive experience leading continuous improvement efforts,… more
- DXC Technology (New York, NY)
- …Cycle + Working knowledge of Asset management for insurance, Underwriting, Claims Processing , Digital engineering, and modernization, Analytic Integration, ... System Integration, Market Data Integration, Data Migration, Cloud + Exceptional communication skills, both verbal & written, excellent presentation skills + Excellent English - articulate, good presentation and negotiation skills Must be legally authorized to… more
- Capital One (New York, NY)
- …our systems and platforms that power Fraud defenses and Fraud & Disputes claims processing + Partner cross-functionally with client, cloud infrastructure, and ... machine learning platform teams to align on and co-develop technical solutions. + Architect and build highly secure & scalable systems that enable server-driven product experiences across devices, with exceptional reliability and availability. + Design… more
- Northwell Health (Lake Success, NY)
- …to patient accounts for hospital and clinical facilities. Daily duties include processing claims , collecting payments, resolving denials and other problems, ... enrollment-related denials. Job Responsibility + Assists and guides the processing and managing of physician claims . +...guides the processing and managing of physician claims . + Oversees the collection of payments from physicians… more
- Robert Half Accountemps (Syracuse, NY)
- …in managing billing processes for Home Health Care services, ensuring accuracy in claims submission and payment processing . Candidates should possess a strong ... background in accounts receivable management and electronic claims systems, coupled with exceptional analytical and problem-solving skills. Responsibilities: *… more
- Northwell Health (Lake Success, NY)
- …patient accounts for hospital and clinical facilities. Daily duties include processing claims , addressing patient billing inquiries, collecting payments, ... inquiries regarding an account. Job Responsibility + Assists in processing and managing patient claims . + Assists...+ Assists in processing and managing patient claims . + Assists in collecting payments from third party… more
- City of New York (New York, NY)
- …guidelines. The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; ... to children and families served by ACS. The HHS-PASSPort Payments unit's scope includes processing payments to 94 vendors on more than 319 contracts through the MOCS… more
- City of New York (New York, NY)
- …guidelines. The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; ... contract payments. These programs are complex and require expedient processing of invoicing. DFS is seeking a Payment Analyst...the Payment Analyst will include the timely review and processing of Human Services and administrative invoices for a… more
- City of New York (New York, NY)
- …guidelines. The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; ... to children and families served by ACS. The HHS-PASSPort Payments unit's scope includes processing payments to 94 vendors on more than 300 contracts through the MOCS… more
- Highmark Health (Albany, NY)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead ... or participate in higher level AR tasks and projects, typically related to: Analysis and reconciliation of cash in transit discrepancies, Streamlining, development and documentation of AR policies or procedures, Reduction of AR balances and coordination of… more