- Humana (Albany, NY)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- OLV Human Services (Lackawanna, NY)
- …This role is responsible for leading a team of Patient Service Representatives (PSRs), managing the clinic's scheduling, insurance verification processes, and ... A critical part of the role involves evaluating insurance coverage, managing claims processing, and ensuring all aspects of patient care are accurately documented… more
- Colgate-Palmolive (New York, NY)
- …smooth operation of our health and insurance benefits programs. Providing unparalleled service to our employees and retirees, this role involves detailed claims ... of select health & insurance benefits programs ensuring effective and efficient service delivery + Resolve escalated health and insurance program claims … more
- EFI Global (Albany, NY)
- …CARE, THERE'S A PLACE FOR YOU HERE EFI Global is a full- service engineering, fire investigation, environmental, health and safety, and specialty consulting services ... cultivate strategic partnerships in the **large complex loss and catastrophic property claims ** space. At the forefront of innovation and integrity, our firm… more
- HUB International (New York, NY)
- …performing contract reviews, adjustments and audits. + Coordinates brokerage and client service efforts with captive management, actuarial, claims and loss ... on our Healthcare Solutions team. **Responsibilities** : + Ongoing service and communication with clients, including promoting client/insurer relationship as… 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
- Kelly Services (Rochester, NY)
- …information + Communicate with pharmacies/physician offices for clarification on requests and claims + Act as lead troubleshooter for pharmacy help desk, customer ... care, and claims processors + Assure proper authorization entry; perform manual...and timely + Coordinate with other departments for consistent service delivery + Meet team average in medication prior-authorization… more
- MTA (Brooklyn, NY)
- …outside counsel that handles a high volume of personal injury and property damage claims and lawsuits brought in state and federal courts against MTA agencies. The ... + Handle high volume personal injury and/or property damage claims during all phases of litigation, including hearings, depositions,...state bar; or + 3. Six months of satisfactory service as an Agency Attorney Intern Incumbents must remain… more
- City of New York (New York, NY)
- …Bureau of Revenue focus on optimization of insurance billing and reimbursements for service provided to insured New Yorkers that seeks services in the article 28 ... Health specialty Clinics, Article 36, and other Care Management service areas provide by DOHMH to meet NYS Article 6 requirements. DOHMH remains committed to… more
- City of New York (New York, NY)
- …are hired provisionally in this title, you must take and pass the Civil Service Exam, when it becomes available, to be eligible for continued employment. This ... will: - Create and maintain financial data tracking reports for multiple DSS/HRA/DHS service programs utilizing MS Excel. - Track and maintain expense and claiming… more