- KPH Healthcare Services, Inc. (Syracuse, NY)
- …for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical ... conferences required. Travel to Facilities for periodic training and review . **Scope of Responsibilities:** Works under minimal supervision. Follows standard… more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- City of New York (New York, NY)
- …one (1) Principal Administrative Associate II to function as Field Eligibility Verification Specialist in its Case Integrity and Eligibility Division, who will: - ... Review and analyze Medical Assistance Program (MAP) duplicate Client...Technology Services (ITS) computer printouts relating to MAP reimbursement claims . - Work on various MAP projects. - Conduct… more
- Molina Healthcare (NY)
- …requests for appeal into information system and prepares documentation for further review . + Research issues utilizing systems and other available resources. + ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… more
- GAP Solutions Inc (Albany, NY)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- Constructive Partnerships Unlimited (Queens, NY)
- Behavioral Intervention Specialist Type of Position Full time Search Location(s) Queens, NY Apply Now ... limited to Life Plan, Day Programs, Departmental, Psychotropic Medication Regimen Review , and Special Team meetings. Attends supervision meetings as requested. 14.… more
- IBM (New York, NY)
- …client's end to end content supply chain transformation including content creation, review and approval, digital asset management (DAM), claims management, and ... years in end to end content supply chain transformation including content creation, review and approval, digital asset management (DAM), claims management, and… more
- ConvaTec (Massapequa, NY)
- …some explanation or interpretation. **Key Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance ... Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . +...or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance explanation of benefits.… more
- MetLife (Oriskany, NY)
- …PR office Once a month in office for meetings Key Responsibilities: . Handle, review , and administer Family & Medical Leave Act standalone/ADA (as well as other ... leave) claims and adhere to federal and state regulatory and/or...Bachelor's degree . Knowledge of system applications and Disability claims knowledge/working knowledge of FMLA/Disability/Leave procedures preferred Equal Employment… more
- DHS Headquarters (New York, NY)
- …related to the protection of federal property and persons on the property Review , evaluate and oversee law enforcement and security operations and programs related ... background investigation. This may include a credit check, a review of financial issues, as well as certain criminal...met by the closing date of this announcement. Qualification claims will be subject to verification. NOTE: Experience refers… more