- Walgreens (Delhi, NY)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
- CVS Health (Amherst, NY)
- …setup essential for online viewing and processing related to Customer Service, Claims , Enrollment, Billing and Reporting in support of internal and external ... and assesses internal and external customer feedback to enhance continuous quality improvement on the implementation process (ie. System tools, resources, etc.)… more
- City of New York (New York, NY)
- …and enhances the transportation infrastructure crucial to the economic vitality and quality of life of City residents. DOT is an equal opportunity employer, ... 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
- The Wesley Community (Saratoga Springs, NY)
- …for all payer types. + Monitor and maintain aging reports for outstanding claims . Respond to and resolve insurance claims denials, rejections, and underpayments ... of care offers a unique balance of community living and care giving that ensures quality of life at every stage of life. We are a mission driven, not-for-profit… more
- City of New York (New York, NY)
- …into LEDDS Reviews and approves incoming records from POS to ensure data quality (Legal landlord name, geocoded address) and that no 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)
- …for all medically related issues for medical management of workers' compensation claims . Responsibilities include: Consult managerial and legal staff in regards to ... to the claimant's work injury and assist with medical case management of claims . Review and process high value and complicated in-patient billing. Coordinate with… more
- New York State Civil Service (Albany, NY)
- …functions or applications using programming languages to perform analyses using commercial claims data.* Develops and maintains reports on commercial health data and ... service delivery and assess network adequacy.* Conducts data analysis (including commercial claims and financial data) to inform the development of programs and… more
- Saratoga Hospital (Saratoga Springs, NY)
- …About Saratoga Hospital At Saratoga Hospital, we've built a reputation for high- quality , compassionate care and a commitment to the health and well-being of ... support for all leave of absence cases. Effectively coordinates all cases/ claims to include general administration, comprehensive case management and program… more
- Mount Sinai Health System (New York, NY)
- …the Assistant Vice President or Director. Does data mining, analyses of underpaid claims and detail report reviews. Prepare standard monthly reporting for the AVP. + ... Responsible for credit balance resolution. + Collects, reviews and investigates unpaid claims internally and with established payers + May work with various Team… more