- WTW (New York, NY)
- …phone and face to face with clients. + Champion the proper advocacy of claims . + Participate in stewardship meetings. + Support Client Management team in identifying ... input for the performance review of team members. + Provide timely/quality feedback to service team members; assist team members in acquiring new skills. + Help to… more
- BronxCare Health System (Bronx, NY)
- …collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement ... (c) Infection Control Policies and Procedures and (d) Patient and Customer Service . - Demonstrate ability in cleaning, disinfecting, and processing of all… more
- Indus Hospitality Group (Rochester, NY)
- …strong positive relationships and demonstrate commitment to providing excellent customer service to all employees of Indus Hospitality Group. This role requires ... including FMLA, NYS PFL, Workers Comp, Short- and Long-Term Disability claims for a portion of the organization. Requirements Education and/or Experience… more
- FlexStaff (Bronx, NY)
- …label requirements, including ingredient statements, allergen declarations, nutrition panels, and claims . + Complete and maintain all required food safety and ... several factors may be considered as applicable (eg, location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts,… more
- Anthony Jordan Health Corp (Rochester, NY)
- …Qualified Health Centers (FQHC) established in the nation, its roots are steeped in service to those who face barriers to health and health care, meeting their need ... ensure: . Risk identification and incident management . Proactive risk reduction and claims prevention . To manage and encourage ongoing education of Jordan Health… more
- Fujifilm (Albany, NY)
- …including customer, distributor and vendor agreements; development, manufacturing and service agreements; clinical trial agreements; group purchasing agreements; and ... respect to healthcare regulatory compliance, anti-kickback statutes, the False Claims Act, US government programs and contracting compliance requirements, antitrust… more
- Arnot Health (Elmira, NY)
- …filing, coordination of benefits, services type issues, and insurance or service verification. Identify patterns of common denial errors, types and recurring ... information to appropriate billing clerks and management. 6. Follow up on denial claims using reports to ensure completion of appeal with other department staff 7.… more
- Centene Corporation (New York, NY)
- …establishing goals and policies to improve quality and cost-effectiveness of care and service for members. + Provide medical expertise in the operation of approved ... to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, or unusual or new services in order to… more
- Molina Healthcare (NY)
- …appropriate and cost-effective based on the severity of illness and the site of service . This position will be supporting our Washington State Medicare plan. We are ... organized and analytical thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work… more
- KPH Healthcare Services, Inc. (Weedsport, NY)
- …in the initial submission, and resubmission (as required) of all third-party claims + Inventory management - proficient in inventory management including ordering & ... months ago_ _(2/3/2025 10:14 AM)_ **_Requisition ID_** _2025-13736_ **_\# of Openings_** _1_ **_Category_** _Customer Service /Support_ **_Location : Location_**… more