- GAP Solutions Inc (Albany, NY)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... the necessary determination regarding when and how to update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium… more
- Constructive Partnerships Unlimited (Queens, NY)
- Behavioral Intervention Specialist Type of Position Full time Search Location(s) Queens, 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
- 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
- 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
- CVS Health (Amherst, NY)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... loss carrier. **Required Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with the suite of… more
- Arnot Health (Elmira, NY)
- …employees with interpretation and application of Arnot Health benefits (ie claims processing, waiting period, qualifying events, covered expenses) and assisting with ... from the employee.* 11. Responsible for the filing of life insurance claims and assisting employees and/or beneficiaries. 12. Communicates with employees, managers,… more
- Highmark Health (Buffalo, NY)
- …gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports, ... medical loss ratio reports, Medicare STARS gaps and other risk revenue opportunities. + Function as the Organization's key contact on gain/risk share multi-disciplinary team. This includes presentation of program results to both internal and external… more
- Acosta Group (Vestal, 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