- Centene Corporation (Queens, NY)
- …of related experience. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- KPH Healthcare Services, Inc. (Ithaca, NY)
- …personally or through subordinates. Assist the professional staff in the triaging, processing and delivery of prescriptions to the patient. Assist in the management ... submission, and resubmission (as required) of all third party claims + Assist in the management of the pharmacy...in the management of the pharmacy inventory, including transmitting, processing and receiving orders to the Kinney Warehouse and… 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
- Excelsior Orthopaedics Group (Amherst, NY)
- …Post denials, correcting charges, filing appeals, and following up on unpaid claims , including composing and processing correspondence as required. + Participate ... work; position responsible for adding charges into billing system, generate insurance claims and patient statements; post payments, follow up on charges, and answer… more
- New York State Civil Service (Endicott, NY)
- …responsible for the following;. Accept and process both original and continued claims for Unemployment Insurance. . Conduct telephone interviews with claimants in ... benefits.. Determine the need for further fact-finding and place claims on hold pending further investigation. Work a variety...bartender, wait staff, hair stylist, bus driver, or home health aide, etc. Note: It is essential that you… more
- CUNY (Bronx, NY)
- …disbursements or refunds; keep logs and issues pertinent receipts. - Assists in processing invoices, vouchers, claims , statements, bills, etc. - Perform various ... and in performing reconciliations. - As instructed, examines invoices, claims , vouchers, etc.; verifies documents for accuracy by reviewing...or semester work hour criteria to be eligible for health benefits. Health benefits are also extended… 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;...record. Administrative Payment Services within DFS is responsible for processing payments associated with the agency "for-profit" vendors which… more
- City of New York (New York, NY)
- …the City fisc, and to represent the City in the array of claims that arise in its operations. Topics include inter-governmental disputes, municipal corruption, ... public health , insurance coverage, commercial disputes, tenant protection matters and...supplemented by 12 semester credits in secretarial science, word processing , office automation and/or office technology; or 2. An… more
- Farmingdale State College (Farmingdale, NY)
- …appointments and meetings using various office tools. + Perform routine processing activities, including checking forms for completeness and accuracy. + Type, ... and files. + Receive, screen, review, and verify documents, forms, applications, claims , and other documents for completeness, content, and accuracy. + Establish new… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …claim processing standard operating procedures as needed to ensure claims are processed according to company policies and contractual obligations. **This role ... of Rebates and Admin fees outlined in GPO contracts. + Effectively resolve all claims in an accurate and timely manner. Proactively review, analyze, and establish… more