- Axis (New York, NY)
- …part in the selection process. About the Team AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America Claim Team. This role ... Attending mediations and monitoring trials as necessary. Drafting coverage correspondence on primary claims, negotiating complex coverage issues, and recommending… more
- Guidehouse (New York, NY)
- …such as: + Correct Coding Initiatives (CCI) + Medically Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review ... in ICD-10, CPT and HCPCS Level II Coding. + Expertise in determining medical necessity of services provided and charged based on provider/clinical documentation. +… more
- Guidehouse (New York, NY)
- …your DNA? Breakthroughs in pharma are helping people live healthier lives, while medical devices enable patients to proactively maintain health - this is undoubtedly ... Sciences practice is an engine of innovation, helping pharmaceutical, biotech, medical device, and diagnostic companies develop custom solutions that tackle today's… more
- Molina Healthcare (Yonkers, NY)
- …determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per ... via written and verbal communications. * Prepares appeal summaries and correspondence , and documents findings accordingly (includes information on trends as… more
- CRC Insurance Services, Inc. (NY)
- …claim documentation. 5. Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 6. Analyze ... system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence , claims, etc. from outside sources. 10. Process all departmental… more
- Saratoga Hospital (Saratoga Springs, NY)
- …patient information and responsible with patient reception, direction and correspondence . Primary Job Responsibilities: + Greeting Patients: Welcomes patients and ... with insurance verification and verification tools and online resources. Check Medical Necessity. Diagnosis Coding and abstracting when needed. Able to complete… more
- NBT Bank (NY)
- …as procedure manuals and technical procedures. + Ability to write routine correspondence . Ability to speak effectively with both internal and external contacts. + ... paid leave at 100% of your salary. + Comprehensive Medical Coverage : Includes employer contributions to HSA for.... Benefits for Part-Time Employees Working 20+ Hours/Week: + Medical Coverage : Includes employer contributions to HSA for… more
- Tompkins Community Bank (Perry, NY)
- …records for audit verification of loan processing. + Maintain legal and correspondence files. + Prepare, distribute, and monitor reports as required. + Maintain ... policies and procedures which impact commercial services. + Proficient PC skills. Benefits + Medical + Dental + Vision + 401(k) Match + Profit Sharing + Paid Time… more
- Bowery Residents Committee (Manhattan, NY)
- …letters and other applicable subsidy/vouchers. Escort/assisting clients with medical , HRA/Social security benefits, housing interviews and other housing-related ... and establish opportunities with providers for new housing options. Maintain correspondence relating to housing interviews. Assisting clients to coordinate their… more
- CGI Technologies and Solutions, Inc. (New York, NY)
- …prepare Lookouts for the CLASS system as directed by the designated Passport Specialist . * Prepare correspondence for applications not issued. * Generate ... staff and performs accounting functions, prepares letters, reports and specialized correspondence . Anticipated tasks include, but are not limited to, the following:… more