- Bowman (Albany, NY)
- …**Qualifications** + Bachelor's degree in accounting or commensurate relevant experience. + Entry level position, no prior experience required. Any experience in ... staff for quality assurance. **At the Operational and Company Level ** + Develop and maintain strong relationships with both...that may arise as it relates to disputes, or claims + Act as liaison between operations and many… more
- Centene Corporation (New York, NY)
- …referring those requests that fail review to the medical director for second level review and determination. + Completes data entry and correspondence as ... flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring… more
- Staffing Solutions Organization (Albany, NY)
- …of our clients and the people they serve. **Senior Healthcare Program Specialist ( Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace Integration ... the necessary determination regarding when and how to update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium… more
- New York State Civil Service (Albany, NY)
- …will conduct hearings to review and/or decide appeals from agency determinations, claims regarding issues such as eligibility for benefits, revocation or suspension ... Traineeship: If you are appointed to one of the entry levels of the Attorney Traineeship, you will normally...based on performance) until you reach the full performance level of a Senior Attorney. If your final performance… more
- Wegmans (East Syracuse, NY)
- …and demonstrating patience, empathy, care, and compassion + Troubleshoot rejected insurance claims and address issues to achieve the best outcome for customers + ... perform basic mathematical computations in order to perform data entry and fill prescriptions without error + State specific...holiday 3. Health care benefits that provide a high level of coverage at a low cost to you… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... Futures, WFE, and Special Payments. This functional title will also provide data entry support, analysis, and generate detailed reports as needed. The duties of the… more
- Adecco US, Inc. (Utica, NY)
- …* 4-year degree in related field or equivalent experience Business Experience: * Entry - level experience in project management * Minimum of 8 years healthcare ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
- MTA (Jamaica, NY)
- …their effective date of hire. SUMMARY: This position is for a senior level counsel who provides support to the Deputy General Counsel/Unit Chief Special Projects. ... Risk Management, in connection with insurance requirements under the various contracts, entry permits and license agreements. The position may also require to… more
- Kaleida Health (Buffalo, NY)
- …perform activities including billing and follow-up on denied and underpaid claims . Secure expected reimbursement from all responsible payers, apply contractual ... and MRU Services and Benefit. Knowledge of census management requirements including level of care determination, insurance coverage, plan set up, and authorization… more
- Leviton (Melville, NY)
- …from customers and sales force pertaining to customer orders, quotation and entry , claims , stock availability, shipping specifications and product information to ... to ensure customer requirements are met. Issues, monitors and researches service level reports (ie turn-around time and fill rates). Maintains pricing agreements for… more