• Deputy Director, Risk Assessment and Standards

    MTA (New York, NY)
    …reduce the MTA's cost of risk through risk analysis and transfer, claims management practices, captive financial planning, insurance program placement, and other ... counseling. + Responsible for the discipline/termination of employees when necessary. + Review the performance of staff. + Create a professional environment that… more
    MTA (08/18/25)
    - Related Jobs
  • Revenue Cycle Manager

    Oak Orchard Health (Brockport, NY)
    …the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through ... the third-party billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working closely… more
    Oak Orchard Health (07/16/25)
    - Related Jobs
  • Health Insurance Biller

    City of New York (New York, NY)
    …requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ... Billing by working alongside a team of talented health insurance billing specialist , you will perform health insurance billing activities and support functions… more
    City of New York (08/14/25)
    - Related Jobs
  • Underwriter 1/Trainee 1/2 (NY Helps)

    New York State Civil Service (New York, NY)
    …and resolve underwriting issues.* Analyze previous loss experience and premium data.* Review /analyze experience rating data and claims material to price a ... Law. Eligible titles include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative… more
    New York State Civil Service (08/11/25)
    - Related Jobs
  • Group Processing Worker

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST ... TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO...statutory, regulatory, and contractual standards. The Division of Financial Review and Processing (DFRP) is responsible for the initiation… more
    City of New York (07/19/25)
    - Related Jobs
  • Lmu Worker

    City of New York (New York, NY)
    …(Legal landlord name, geocoded address) and that no duplicate records are created. Review security voucher and SSAF claims submitted by landlords via CurrentNYC ... is accurate. - Review security voucher and Special Supplemental Assistance Fund claims submitted by landlords via CurrentNYC or by mail or email to the LMU… more
    City of New York (08/13/25)
    - Related Jobs
  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will ... make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical… more
    Elevance Health (08/09/25)
    - Related Jobs
  • Assistant Insurance Fund Services Representative…

    New York State Civil Service (Buffalo, NY)
    …info about claims .*File forms and correspond with the Workers' Compensation Board.* Review claims for retirement or transfer to lost time units.*Complete ... Case Manager in the NYS Segment. *Work-up and process Workers' Compensation claims .*Approve and deny medical bills.*Respond to claimant and provider inquiries via… more
    New York State Civil Service (08/20/25)
    - Related Jobs
  • Deputy Director Of The Lmu

    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
    City of New York (08/13/25)
    - Related Jobs
  • Clinical Appeals Nurse (RN)

    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
    Molina Healthcare (08/15/25)
    - Related Jobs