- Allied Universal (Buffalo, NY)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... **4** **/** **hr** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' … more
- Centene Corporation (Queens, NY)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more
- Walgreens (West Sand Lake, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Northwell Health (New Hyde Park, NY)
- …modifiers. + Knowledge National Correct Coding Initiative (NCCI) edits and their impact on claims + Ability to analyze large datasets (eg, claims data, denial ... range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the… 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
- Axis (New York, NY)
- …Casualty book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes ... assessing the impact of these on the account's profile and emerging claims experience. + Maintain the feedback loop of information and analyses between… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …proceedings. + Support the Risk Manager in tracking insurance-covered litigation matters. File claims with insurance companies for claims and lawsuits as needed. ... including but not limited to, recruitment, hiring, job placement, compensation , benefits, training and apprenticeship, employee development, promotion, demotion,… more
- FlexStaff (Chappaqua, NY)
- …and patients by telephone or online and appealing denied or incorrectly paid claims . Key Responsibilities: - Review insurance payments for accuracy based on fee ... - Prepare and submit appeals for underpaid or denied claims - Follow up with insurance carriers regarding outstanding...listed is a good faith determination of potential base compensation that may be offered to a successful applicant… more
- Truecare Homecare Agency (Brooklyn, NY)
- …all documentation to centralized location + Participate in data retrieval for claims appeals and requests for payment + Liaison between the insurance companies ... phone/fax management skills, computer documentation of codes and information for claims Required Qualifications: + High School Graduate/ GED equivalent +… more
- Walgreens (Delhi, NY)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more