- Molina Healthcare (Buffalo, NY)
- …likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge ... specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program… more
- New York State Civil Service (Albany, NY)
- …201814 Occupational Category Legal Salary Grade 25 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $66951 to $121413 Annually ... Furnishes, through an Associate Attorney, to OGS senior staff, professional evaluation, legal research, and advice regarding leasing matters.* Represents… more
- EFI Global (Binghamton, NY)
- …to customers that caring counts(R). Each of our more than 700 professional engineers, fire investigators, architects and scientists was selected for their technical ... proficiency, in-depth industry knowledge and commitment to professional integrity. Together, our diverse backgrounds and collective insights empower clients to make… more
- UNUM (Albany, NY)
- …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to… more
- City of New York (New York, NY)
- …review requests for proposals, assist the unit in reviewing prelitigation construction claims , perform legal research on questions related to the Division's work, ... state law and NYCHA's contract procedure regulation. - Analyze prelitigation construction claims . Additional Information 1. Resume and cover letter must also include… more
- Mount Sinai Health System (New York, NY)
- …role in testing, coding, modeling, and reporting on Hospital Billing (HB) and Professional Billing (PB) contracts for the MSHS Health System. This individual will ... analysis in a healthcare setting. + Experience with Hospital Billing (HB) and Professional Billing (PB) contracts. + Strong background in contract coding, logic, and… more
- MTA (Bronx, NY)
- …and at reducing collisions and minimizing expenses related to litigation and claims . Execute the development and implementation of an enhanced de-escalation training ... and collision avoidance features, to improve employee availability and reduce IOD claims . Serve as co-chair of the DOB Assault Committee which is developing… more
- Capgemini (New York, NY)
- …workflows The analyst will support optimization initiatives for policy servicing claims management and customer engagement platforms Key Responsibilities Collect and ... Tableau or Qlik Strong understanding of insurance workflows such as policy issuance claims processing and customer onboarding Ability to work with large datasets and… more
- Catholic Health Services (Greenvale, NY)
- …schedule appointments, and handle patient inquiries in a courteous and professional manner. + Patient Records Management: Maintain accurate patient files, ensuring ... Insurance: Assist with billing processes, including insurance verification, coding, and processing claims . Follow up on unpaid claims and communicate with… more
- AON (New York, NY)
- …in Construction + Commitment to ongoing learning and professional development including insurance courses/certifications/designations + Thorough analysis of ... and other transactional duties + Review and clearing audits and adjustments + Claims review and analysis + Assist team as needed, ie: special projects, daily… more