- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …**Scope of Responsibilities:** This highly skilled and experienced finance professional is responsible for driving the organization's financial planning, budgeting, ... the organization's insurance programs, including renewals, coverage adequacy, and claims oversight. **This is not a remote opportunity** **Responsibilities** **Job… more
- Community Medical and Dental Care Inc (Monsey, NY)
- …to all professional services rendered. + Prepare and review reports, claims , and correspondences. Ensure that records and documentation are in compliance with ... Federal and State regulations. + Provide in-office and telemedicine services to patients. + Prescribe medication and treatment for patients. + Recommend appropriate physical and dietary routines and methods for disease prevention and maintaining personal… more
- NTT America, Inc. (NY)
- …and closing large, complex BPO and BPaaS deals. This senior-level sales professional will play a pivotal role in identifying strategic opportunities, building ... to solve process challenges related to **F&A, Customer Experience, KYC, Claims , HR, Procurement** , or **industry-specific processes** . + Strong financial… more
- KPH Healthcare Services, Inc. (Ithaca, NY)
- …consistent application of organizational policies. **Job Su Summary:** Assist the professional staff in the triaging, processing and delivery of prescriptions to ... in the initial submission, and resubmission (as required) of all third party claims + Locating prescription files and other manual records from storage as needed… more
- Ankura (New York, NY)
- …enhance a Bank's processes and control + Optimizing and redesigning an Insurers claims function + Documenting a Bank's obligations that arose from laws, rules, and ... knowledge of Word, Excel, and PowerPoint + Ability to work in a dynamic professional services environment + Ability to work well with teams + Research and analytical… more
- Ankura (New York, NY)
- …enhance a Bank's processes and control + Optimizing and redesigning an Insurers claims function + Documenting a Bank's obligations that arose from laws, rules, and ... knowledge of Word, Excel, and PowerPoint + Ability to work in a dynamic professional services environment + Ability to work well with teams + Research and analytical… more
- IQVIA (New York, NY)
- …persuasive influencer and relationship builder to create and maintain strong professional competent relationships resulting in a trusting and outstanding client ... sales and/or account management or consulting experience. + Experience with medical claims and data analytics is required. + Possesses knowledge of key marketplace… more
- Molina Healthcare (Albany, NY)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Outlook and Word, and other software systems. * Experience with professional written and verbal communication. **Preferred Experience:** Experience in the health… more
- Humana (Albany, NY)
- …relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations + MAAA + Strong technical and communication skills + ... either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's… more
- Mohawk Valley Health System (Utica, NY)
- …medical terminology is a plus. Core Job Responsibilities + Promotes a professional working relationship with insurance companies. Knows each payor representative and ... uses them as a contact when necessary to resolve outstanding issue on claims . + Determines whether payment from insurance billed is accurate, based on DRG,… more