- Mount Sinai Health System (New York, NY)
- …Sinai Health System. **Qualifications** + BA or BS degree minimum, in a relevant field of study; Masters degree preferred. + 5 years minimum in analytics development ... 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,… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer Service, Legal ... resource planning. + Manage various file integrations including eligibility, accumulators, claims , etc. + Create an efficient process to manage client… more
- MetLife (Oriskany, NY)
- …Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer expectations. Will engage business ... What You Need to Succeed (Required Qualifications): * Bachelor's degree in a related field or equivalent experience * 7-8 years of related disability claims … more
- New York eHealth Collaborative (New York, NY)
- …large and complex datasets (eg, master patient indexes, SPARCS, healthcare claims ). + Design, implement, maintain, and enhance data workflows, ETL/ELT pipelines, ... and Skills: + Bachelor's degree in STEM or related field required; Master's preferred. + At least 6 years...+ Familiarity with Clinical Quality reporting, Medicare and Medicaid claims data, ICD coding, CDA standards, web scraping, EHR/EMR… more
- City of New York (New York, NY)
- …and/or systems. - Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy ... thousands of staff work hours, and single-handedly ensuring that over 80,000 claims are correctly processed. - Coordinate planning, set policies and prioritize the… more
- City of New York (New York, NY)
- Job Description Claims and Collections pursues monetary recoveries owed to the City of New York from former Cash Assistance recipients who have received 1-Shot deals ... utility arrears as stipulated in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator...justice administration and planning, and/or law or a related field and one year of satisfactory, full-time experience as… more
- New York State Civil Service (Albany, NY)
- …functions or applications using programming languages to perform analyses using commercial claims data.* Develops and maintains reports on commercial health data and ... service delivery and assess network adequacy.* Conducts data analysis (including commercial claims and financial data) to inform the development of programs and… more
- Affordable Care (Vestal, NY)
- …treatment and financial arrangements, handling the insurance billing process ensuring all claims are processed in a timely manner according to a variety of ... handling dental office finances, **full insurance billing process required (including claims submission, appeals, and denial management)** and being able to… more
- Saratoga Hospital (Saratoga Springs, NY)
- …support for all leave of absence cases. Effectively coordinates all cases/ claims to include general administration, comprehensive case management and program ... Manages STD/LTD programs and vendor relationships. Ensure that disability claims are coordinated with FMLA or general medical cases....Bring + Minimum of 1 year in HR related field required. + Leave management experience preferred. + Experience… more
- Wright Beverage Distributing Corp. (Rochester, NY)
- …HRIS accuracy, coordinates recruitment logistics, handles offboarding and unemployment claims , and supports compliance activities. Acting as a central liaison ... and development coordination, and special projects + Manage unemployment claims , including timely state responses, documentation gathering, and maintaining accurate… more