- Planned Parenthood of Central and Western NY (Rochester, NY)
- …Functions 70% Auditing and Corrective Action + Evaluates charge capture, claims scrubbing and sliding fee discount practices to ensure efficiency, accuracy, ... and completeness of encounters, claims and transactions in compliance with payer rules and...Bachelor's degree in business or healthcare administration or related field preferred or equivalent combination of education and experience… more
- WTW (New York, NY)
- …acquisitions and divestitures, reviews contracts and fund agreements, tracks claims , and advises on insurance adequacy across investments. Note: Employment-based ... in a timely manner 3. Track and review insurance claims with designated claims administrator + **Broker...+ Minimum of 5-10 year's experience in a related field + Ability to work nimbly and independently +… more
- JPMorgan Chase (New York, NY)
- …Morgan Health, you will utilize your deep experience with health care claims warehouses, data transformations, and product design thinking to evolve and execute ... this role, you will leverage your expertise in medical and pharmaceutical claims data, survey data, biometrics data and industry-standard groupers to propose… more
- Stony Brook University (East Setauket, NY)
- …Analyst may include the following, but are not limited to:** + Analyze claims and remittance data and present findings to departmental leadership. + Complete ... business processes and business systems configuration, including: Patient Billing, Claims Scrubber, Contract Management and Work Listing Software. + Interpret… more
- Helen Keller National Center for Deaf Blind Youths… (Sands Point, NY)
- …Specialist is responsible for the accurate preparation, submission, and follow-up of claims for services funded by the Office for People with Developmental ... to Community Habilitation, Day Habilitation, and SEMP. * Verify that all claims meet Medicaid and OPWDD billing compliance standards. * Review service documentation… more
- Maritime Administration (Kings Point, NY)
- …and services project cost estimates - Provides cost expertise on complex claims and assists in negotiations Reviews design and construction projects to develop ... Academy's cost engineering function Provides cost expertise on complex contractor claims and assists in negotiations Directs staff on procedures, requirements, and… more
- MTA (Brooklyn, NY)
- …Authority, which includes the New York State Department of Labor claims processing, hearings, appeals, adjournments, remands and quarterly audits. Position will ... tasks are performed correctly and efficiently in compliance with mandated deadlines. Review UI claims before submission to the DOL and also review NF claims … more
- Sedgwick (Albany, NY)
- …casualty workers compensation industry background and skill set. Managing and understanding claims data & casualty claims data.** **PRIMARY PURPOSE** **:** To ... performance. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree in a related field from an accredited college or university preferred. **Experience** Ten… more
- Canon USA & Affiliates (Albany, NY)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- Centene Corporation (New York, NY)
- …state of New York.** **Position Purpose:** Oversee and ensure the effective operation of Claims Support Services and Claims Projects. + Oversight of Claims ... time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's… more