- New York State Civil Service (Endicott, NY)
- …about claims .* File forms and correspond with the Workers' Compensation Board.* Review claims for retirement or transfer to lost time units.* Complete other ... only Case Manager in the NYS Segment.* Work-up and process Workers' Compensation claims .* Approve and deny medical bills.* Respond to claimant and provider inquiries… more
- City of New York (New York, NY)
- …data quality (eg, legal landlord name, geocoded address) and prevent duplicate records. - Review security voucher and SSAF claims submitted by landlords via ... YOU MUST BE PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST TITLE FOR AT LEAST ONE YEAR OR PERMANENT...of (LMU) will: Data Quality and Record Management: - Review and approve incoming records in the CurRent NYC… more
- Molina Healthcare (Albany, NY)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or ... of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… more
- WSP USA (New York, NY)
- …negotiate with contractors and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to ... Participate in the development and issuance of project procedures and policies; review and make recommendations on SCA-wide procedures and policies. + Provide… more
- University of Rochester (Rochester, NY)
- …Reviews and responds to Settlement Offers on collection agency accounts Review incoming correspondence from both internal and external customers regarding ... Presumptive financial assistance + Other recommendations to resolve account Review and resolve credit balances related to self pay...to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +… more
- Gerber Collision & Glass (Albany, NY)
- …Glass America is a respected leader in the auto glass industry. As a Claim Specialist , you are a key member of Glass America's shop operations team and instrumental ... + Have a sense of urgency when filing insurance claims with and/or without customers on the line. +...All hiring decisions are made by real people who review each application individually. Compensation Details: Compensation Range is… more
- City of New York (New York, NY)
- …Eligibility Specialist , and Principal Administrative Associates involved in claim review and processing. - Assign, evaluate and review completed cases ... about compliance with procedures related to Time & Leave. Review , investigate and resolve personnel issues of work productivity...Social Security Administration on any issues related to the claims or the use of the Government Service Online… more
- University of Rochester (Albany, NY)
- …but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, ... assigned functional area and serving as the team's coding specialist . This role acts as a subject matter expert...and accurate manner. **20%** Uses knowledge and experience to review and trend analytic and reporting data identifying problem… more
- University of Rochester (Rochester, NY)
- …**ESSENTIAL FUNCTIONS** + Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assigns codes through medical ... reviews to make corrections before transmittal. + Troubleshoots problems that prevent claims from being released. Identifies cause of edit and independently resolves… more
- NBC Universal (New York, NY)
- …entertainment and lifestyle, and unscripted programming + Conduct pre-broadcast and pre-publication review + Advise on newsgathering and access issues + Counsel on ... and other intellectual property matters; negotiate and settle pre-litigation copyright claims + Respond to pre- and post-publication threats and challenges +… more