- Humana (Albany, NY)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes to ensure successful submission and reconciliation of encounter submissions… more
- New York State Civil Service (Albany, NY)
- …Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on complex ... provides comments on design-phase project documents.Essential Functions* Review and analyze claims in coordination with internal and external project staff by… more
- Compass Group, North America (Brooklyn, NY)
- …Office Risk Management team in responding to or managing any safety and claims issues* Working with operations and culinary teams to ensure the timely completion ... and settling of team members, foodborne illness, liquor liability and guest claims * Work with local OSHA, sanitation or Everclean inspectors to support… more
- Humana (Albany, NY)
- …The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments ... skills to make an impact** **Required Qualifications** + 5+ years of claims operations related experience + Experience with analyzing, reconciling and manipulating… more
- MetLife (Oriskany, NY)
- …and areas such as Product, Business Procedures, Contracts, or Plan Master; may support the development of criteria and ensure that complex, non-routine processes and ... Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer expectations. Will engage business… more
- EFI Global (Rochester, NY)
- …performance development plans; conducts colleague performance discussions. + Provides support , guidance, leadership and motivation to promote maximum performance. ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Robert Half Legal (New York, NY)
- …actions, as well as individual and class-wide discrimination, harassment, and retaliation claims under federal, state, and local laws. This is a hands-on role ... with a focus on employment law + Demonstrated experience with wage-and-hour claims + Substantial deposition experience + Strong legal research and writing skills… more
- The Wesley Community (Saratoga Springs, NY)
- …for all payer types. + Monitor and maintain aging reports for outstanding claims . Respond to and resolve insurance claims denials, rejections, and underpayments ... excellence, innovation, and a personal approach to care and services. We encourage and support our residents in their efforts to achieve their goals, and we treat… more
- Saratoga Hospital (Saratoga Springs, NY)
- …patients and families deserve. In this role, the Leave Specialist coordinates the support for all leave of absence cases. Effectively coordinates all cases/ claims ... as requested. + Manages STD/LTD programs and vendor relationships. Ensure that disability claims are coordinated with FMLA or general medical cases. + Assists in the… more
- City of New York (New York, NY)
- …State, and local veterans' benefits. Veteran Specialists assist clients in assembling claims that are submitted to the United States Department of Veterans Affairs ... and VA survivor's benefits. Reporting to the Senior Executive Director of Veteran Support Services, the Veterans Specialist for Queens will: - Serve as a direct… more