- Mount Sinai Health System (New York, NY)
- …roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred ? Experience ... and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from Quality Director ? Effective communicator ?… more
- OLV Human Services (Lackawanna, NY)
- …life insurance. + Supplemental insurance programs for additional life insurance, short-term disability , accident & cancer insurance + Up to $600 every year for ... A critical part of the role involves evaluating insurance coverage, managing claims processing, and ensuring all aspects of patient care are accurately documented… more
- City of New York (New York, NY)
- …with internal personnel for all contract, budget, and payment data to ensure claims are efficiently processed and meet due dates. Maximize agency reimbursement by ... ensuring all expenditures are captured and reported accurately in claims . Reconcile DOHMH submitted claims after state approval. Reconcile and submit… more
- City of New York (New York, NY)
- …following: Investigate and assist in the preparation for trial of less serious claims for and against the City. Secures evidence by interviewing interested parties, ... 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
- City of New York (New York, NY)
- …staff attorneys in conducting interviews with members of the public alleging claims of discrimination in employment under the NYCHRL and investigating those ... claims . - Supervising LEB attorneys and other staff in...individual's sex, race, color, ethnicity, national origin, age, religion, disability , sexual orientation, veteran status, gender identity, or pregnancy.… more
- CDM Smith (Buffalo, NY)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any… more
- Capgemini (New York, NY)
- …stream - from product development, underwriting, and policy administration to claims , billing, distribution, and servicing. . Translate business needs into ... trends such as embedded insurance, ecosystem partnerships, AI/ML in underwriting and claims , and cloud adoption. Travel is required per 50-75% dependent on client… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …with the arrangement of services as is deemed necessary. + Evaluates submitted claims to determine if services billed and provided are consistent with the approved ... file and claim payment to encourage timely submission and adjudication of claims within company and State time service standards. + Consistently demonstrates high… more
- Centene Corporation (New York, NY)
- …to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review ... requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. + Provide regular reports on project status… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… more