• Pharmacy Prior Authorization Technician

    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
    Kelly Services (08/19/25)
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  • Agency Attorney I-II-III

    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
    MTA (08/15/25)
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  • Health Insurance Biller

    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 (08/14/25)
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  • Revenue Associate

    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
    City of New York (08/13/25)
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  • Pharmacy Billing Specialist

    Elderwood (Buffalo, NY)
    …+ Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system. + Skilled nursing facility, assisted ... facility and private pay pharmacy claim billing + Troubleshoot rejected insurance claims resulting in payments + Prior Authorizations required from Third Party… more
    Elderwood (07/31/25)
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  • Medical Coder II

    Ellis Medicine (Schenectady, NY)
    …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... charges in the Service Catalog (Charge Description Master) and related encounter forms,...the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements:… more
    Ellis Medicine (07/29/25)
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  • Market Facing Underwriting Manager (AVP)

    Zurich NA (Queens County, NY)
    …with key internal stakeholders in order to identify opportunities for service improvement to ensure commercial viability and customer satisfaction. + Underwrite ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...negotiating + Strong presentation skills and a solutions and service orientation Compensation for roles at Zurich varies depending… more
    Zurich NA (07/11/25)
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  • Medical Billing Specialist

    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 ... tasks. Establish, manage, and communicate the process of billing medical claims for specialty facilities. **Responsibilities** **Job Duties:** + Manages the existing… more
    KPH Healthcare Services, Inc. (07/09/25)
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  • Deputy Director, OCIP Management Risk Control

    MTA (New York, NY)
    …for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + Responsible for the management ... activities associated with such programs including services rendered by private service providers. + Manage and monitor the Investment Portfolio contractor and… more
    MTA (07/08/25)
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  • Deputy General Counsel

    City of New York (New York, NY)
    …professionals and construction contractors; and (iii) contract administration issues including claims analysis, delay claims analysis, review of potential change ... Project Delivery, as well as administrative matters involving Comptroller claims and the CDRB, among other types of claim...job application as prompted. Do not apply via Employee Self- Service (ESS), e-mail, mail, or fax your resume to… more
    City of New York (08/20/25)
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