- Evolent (Albany, NY)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorization data… more
- City of New York (New York, NY)
- …and claiming data for data entry into multiple database systems for agency claims submitted annually for Federal and State reimbursement. - Analyze fiscal year ... claims , revenue, invoices and payment vouchers to ensure alignment...individual's sex, race, color, ethnicity, national origin, age, religion, disability , sexual orientation, veteran status, gender identity, or pregnancy.… more
- City of New York (New York, NY)
- …payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their ... revenue collection for outstanding balances. Investigate and research unidentified claims /payments received to determine its appropriateness to deposit the payments.… more
- AIG (New York, NY)
- …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an ... be a trusted business partner, working closely with the underwriting and claims departments to ensure profitable performance and growth. + Perform and communicate… more
- Dal-Tile Corporation (New York, NY)
- …that an employee in this position would be expected to manage. Investigate claims submitted by customers to determine root cause, identify possible solutions, and ... coordinate actions with necessary functions to resolve replacement or remedial claims caused by manufacturing defects, addressing any disputes, and negotiating any… 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 ... nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability , affectional or sexual orientation, gender identity, military or veteran… 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 ... + Ensure the timely and accurate preparation and submission of billing claims and anticipated payments. + Regular communication with payers (insurance companies,… more
- Axis (New York, NY)
- …identity or expression, national origin or ancestry, citizenship, physical or mental disability , age, marital status, civil union status, family or parental status, ... Casualty book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... **Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and… 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