- New York State Civil Service (Albany, NY)
- …Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on complex ... provides comments on design-phase project documents.Essential Functions* Review and analyze claims in coordination with internal and external project staff by… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …more work streams, including: Client Implementation, Enrollment & Eligibility, Claims processing & Reimbursements, Member/Provider self-service, Customer ... should have hands on experience in setting and managing large complex projects in Healthcare Insurance across business, operational, and IT teams, spanning one or… more
- Humana (Albany, NY)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Hannaford (Kingston, NY)
- …claim forms if needed. * Maintain organized filing system for invoices, manual insurance claims , daily reports, etc.. in accordance with Standard Practice Manual ... in maintenance of third party prescription information and resolution of rejected claims . * Initiate prescription renewal requests to prescriber via telephone call… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Site Auto Appraiser (CAT Repair Solution) **PRIMARY PURPOSE** **:** To inspect, ... directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …and census entry to ensure accurate billing. + Verifying primary and secondary insurance coverage on residents. + Provide customer service and problem resolution to ... + Complex account reconciliation + Account adjustments, bad debt processing + Third party, Medicare, Managed Care, and private...+ Track and re-bill pending Medicaid accounts + Re-bill claims as needed + Identify pattern problems (improper patient… more
- Arnot Health (Elmira, NY)
- …assists employees with interpretation and application of Arnot Health benefits (ie claims processing , waiting period, qualifying events, covered expenses) and ... from the employee.* 11. Responsible for the filing of life insurance claims and assisting employees and/or beneficiaries. 12. Communicates with employees,… more
- Citigroup (Getzville, NY)
- …an in-depth analysis and develop solutions to issues related to confirmations, processing , post-settlements, claims , and treasury operations + Capable of prompt ... in at least one area of Securities and Derivatives processing + Advanced knowledge of hedge funds activities including...dental & vision coverage; 401(k); life, accident, and disability insurance ; and wellness programs. Citi also offers paid time… more
- UIC Government Services and the Bowhead Family of Companies (New York, NY)
- …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Lactalis American Group Inc. (Buffalo, NY)
- …this position include: 1. Data Analytics + Analyze and validate complex trade claims and sales data to drive informed decision-making. + Design and maintain visual ... + Investigate and resolve trade spend discrepancies, pricing misalignments, and claim processing issues. + Build, interpret, and present profit & loss (P&L)… more