- Elevance Health (Latham, NY)
- …+ Trains associates on all upskilling of customer service and claims to include providing professional medical service facility correspondence, usage of ... an equivalent background. **Preferred Skills, Capabilities and Experiences:** + FEP Claims or Customer Service experience highly preferred. + Strong written, verbal,… more
- City of New York (New York, NY)
- …payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their ... revenue collection for outstanding balances. Investigate and research unidentified claims /payments received to determine its appropriateness to deposit the payments.… more
- AECOM (New York, NY)
- …DSO, G&A, project delivery, client satisfaction, staff utilization, safety, claims resolution and quality. **Capability Development (People, Practice and Tools)** ... achievement, DSO, G&A, project delivery, client satisfaction, staff utilization, safety, claims resolution and quality. + Experience growing of a regional business… more
- Mount Sinai Health System (New York, NY)
- …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, ... Competencies** + Demonstrates the ability to assure compliance with regulatory, insurance and ethical standards regarding safety of patients, employees and property.… more
- Molina Healthcare (Buffalo, NY)
- …likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge ... with the chief medical officer for administrative law judge pre-hearings, state insurance commission, and meet and confers. * Represents Molina and presents cases… more
- Robert Half Finance & Accounting (New York, NY)
- …batch or payout reports. * Investigate and resolve merchant service chargeback claims for wholesale and retail sales. * Process employee reimbursements and record ... and reporting accurately. * Adept at resolving discrepancies in merchant services claims . * Proficiency in financial software systems and spreadsheet tools. Robert… more
- Evolent (Albany, NY)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- MTA (Jamaica, NY)
- …customer satisfaction by investigating customer and political inquiries or complaints, claims , legal inquiries either written or verbal and prepare appropriate ... Must possess prior experience drafting responses and/or correspondence to inquiries, claims , complaints, etc. + NY State Fundamentals of Engineering (FE)… more
- Fujifilm (Albany, NY)
- …Code of Conduct, Interactions with Healthcare Professionals Policy, Anti-Kickback, False Claims Act, HIPAA, Anti-Corruption Policy and Antitrust Policy among others, ... + Strong understanding of healthcare regulations (eg, Anti-Kickback Statute, False Claims Act) and global compliance frameworks (eg, FCPA, UK Bribery Act).… more
- Walgreens (Valhalla, NY)
- …policies inclusive of participating in the billing and submission of claims to government-sponsored health care programs, including Medicare, Medicaid, and all ... payment rejections. Resolves third party rejection problems promptly, and resubmits rejected claims for payment on a timely basis. + Manages and attains inventory… more