- Constructive Partnerships Unlimited (Manhattan, NY)
- …Incident Management Investigator works closely with the Incident Management Investigator Specialist I (IMIS-I) and Incident Management Investigator Specialist II ... regulations. POSITION DUTIES: 1. Works closely with the Incident Management Investigator Specialist I and II. 2. Participates in weekly group and individual… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The C & D specialist is responsible for reviewing accounts which have been denied or underpaid by third party payers and to resolve the issues resulting in ... denial/underpayment and to formally appeal. The specialist will conduct comprehensive reviews of clinical documentation to determine if an appeal is warranted.… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for protecting ... act on behalf of the Bureau of Fraud Investigation, Liens and Recovery, Claims and Collections and the Assistance Reimbursement Unit. Their staff review cases,… more
- Molina Healthcare (Buffalo, NY)
- …likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge ... specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program… more
- New York State Civil Service (New York, NY)
- …titles include, but are not limited to: Administrative Analyst Trainee 1, Claims Services Representative Trainee 1, Contract Management Specialist Trainee 1, ... the Civil Service Law. Eligible titles include, but are not limited to: Claims Services Representative 1, Policyholder Services Representative 1, Underwriter 1; OR *… more
- City of New York (New York, NY)
- …assisting with new hire onboarding and other tasks as needed. CLAIM SPECIALIST - 30726 Qualifications 1. A baccalaureate degree from an accredited college ... or university and two years of full-time satisfactory experience investigating and/or settling claims for personal injury or property damage or loss; or 3. A… more
- WSP USA (New York, NY)
- …and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate action. + ... and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in...of full time, progressively responsible work as a technical specialist in one or more construction and design related… more
- Catholic Charities of the Dioscese of Albany (Albany, NY)
- …through: + Assist employees in the benefits program enrollment and benefit claims processes + Maintain changes to the employee benefit platforms including employee ... salary adjustments and benefit eligibility status; Assist the Employee Benefits Specialist with maintenance of the pension platform + Facilitate the resolution… more
- Trinity Health (Troy, NY)
- …and practice workflows: + Scheduling and registration + Check-in + Check-out + Charge entry/ claims + End of day processes + General duties including but not limited ... and/or diagnostic tests. + Obtains pre-authorizations for diagnostic testing for specialist office visits as assigned. + Obtains referrals for specialist… more
- New York State Civil Service (Albany, NY)
- …12243 Duties Description These positions will be supervised by a Temporary Assistance Specialist 1.Duties of the positions include, but are not limited to, the ... all elements;* Assist with looking up data to support Temporary Assistance Specialist 's with related job functions;* Proofread and format drafts of correspondence… more