- Molina Healthcare (Syracuse, NY)
- …Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex ... implement efficient enterprise-wide processes and governance structures that span claims , encounters, clinical, finance and actuarial functions. + Identifies,… more
- City of New York (New York, NY)
- …NYC Department of Environmental Protection (DEP) enriches the environment and protects public health for all New Yorkers by providing 1.1 billion gallons of high ... by the Property Management Group, including invoicing and receiving and processing payments managed through QuickBooks and an online billing platform (CityPay).… more
- City of New York (New York, NY)
- …(TPHI) Reimbursement Unit is responsible for the authorization of Medicaid reimbursement claims of consumers receiving public health insurance which include ... ASSOCIATE CIVIL SERVICE TITLE. The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid, for the City of New York.… more
- Humana (Albany, NY)
- …Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience ... days/week. **Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with… more
- Norstella (Albany, NY)
- …analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records ... teams to develop and refine database queries, data pipelines, and processing workflows, incorporating AI/ML methodologies for advanced analytics. + Partner with… more
- GAP Solutions Inc (Albany, NY)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more
- City of New York (New York, NY)
- …guidelines. 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 financial health of provider agencies through financial review and audits;...contract payments. These programs are complex and require expedient processing of invoicing. DFS is seeking a Payment Analyst… more
- OLV Human Services (Lackawanna, NY)
- …reconciliation, and analysis of monthly revenue, utilization, and accounts receivable reports. + Processing of billing claims as necessary. + Updating of rate ... to learn more: https://studentaid.gov/manage-loans/forgiveness-cancellation) + Casual dress code + Health , dental & vision insurance options + Free dental insurance… more
- Molina Healthcare (Syracuse, NY)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position… more
- Outreach Development Corporation (Richmond Hill, NY)
- …helps people address the issues stemming from substance use and behavioral health disorders by providing the highest quality, life-changing treatment, training and ... potential by developing and delivering the highest quality evidence-based behavioral health services and training. For more information, please visit www.opiny.org.… more