- Constructive Partnerships Unlimited (Bronx, NY)
- Community Habilitation Specialist Type of Position 4/5 Search Location(s) Bronx, NY Apply Now ... the code of business conduct, the NYS and federal false claims acts, whistleblower protections and mandatory reporting. Completes corporate compliance training… more
- City of New York (New York, NY)
- …public to perform a preliminary assessment of the individual's needs and/or claims of discrimination. - Perform data entry, generate letters, and otherwise ... all duties as needed to advance the work of the LEB. HUMAN RIGHTS SPECIALIST (COMM - 55018 Qualifications 1. A baccalaureate degree from an accredited college plus… more
- City of New York (New York, NY)
- …from DCAS, DOE, H+H, and non-City payroll entities into the MBF database. - Claims Processing: Review and process Health and Fitness claims in accordance with ... program guidelines. - Inquires Processing: Answer phone and email inquiries from active managerial employees and retired Management Benefit Fund members. COMMUNITY COORDINATOR - 56058 Qualifications 1. A baccalaureate degree from an accredited college and two… more
- ConvaTec (Massapequa, NY)
- …prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance ... explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including authorizations and limitations. + Investigates insurance claim denials, exceptions, or exclusions. Takes necessary action to resolve claim and payer… more
- Northwell Health (Westchester, NY)
- …companies. + Resolves issues related to credentialing, managed care participation, claims payment, demographic changes, referrals, and accessibility. + Responds to ... physician requests, provides updates and resolves issues. + Coordinates and implements credentialing activities to assist providers with the completion of applications for network contract offerings; monitors applications and follows-up as needed. + Conducts… more
- YAI (Manhattan, NY)
- …to support automated billing processes and/or transmits or resubmits corrected claims electronically in accordance with applicable agency requirements. + Reconciles ... billing reports and entries within applicable electronic systems by flagging individuals and/or specific services without posted payments on a monthly basis and collaborates with program management to determine corrections needed, following up on a regular… more
- University of Rochester (Rochester, NY)
- …for non-routine letters of correspondence related to appeals on denied claims , including compiling all necessary information and drafts for provider signature. ... + Manages provider(s) documentation and information. + Composes and types of non-routine correspondence providing factual information. + Arranges travel, conference registration, and hotel accommodations. Interfaces with organizations, hospitals, and others to… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Candidate will be responsible for following up on medical claims including but not limited to follow up on claim submissions, investigating patient ... accounts, resolving denials, and fielding all incoming correspondence. Candidate will answer incoming phone calls from patients pertaining to billing, insurance, and payments. Minimum Qualifications: 2-3 years Medical Billing Experience- Radiology preferred… more
- Acosta Group (Middletown, NY)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Racker (Ithaca, NY)
- …Generates reports to track utilization data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends and generates reports for ... each program, OSHA logs, and safety committee. Is an active member of the Safety Committee. + Effectively interprets FMLA, ADA, and Return to Work implications as they relate to leaves of absences/disabilities. + Assists with accuracy of all benefits… more