- CDM Smith (Poughkeepsie, NY)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Poughkeepsie, NY)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical ... information to appropriate stakeholders (internal and external) to ensure payment for services. **Travel** : Limited travel may be required. Travel to healthcare… more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Molina Healthcare (NY)
- …the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. ... GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS progression program.… more
- MetLife (Oriskany, NY)
- …analyze and render appropriate claim decisions on STD, PML and state claims . Clarify functional capacity through independent problem-solving measures and discretion ... to work, discuss terms of the certificate, and the basis for payment /non- payment . . Communicate with a variety of constituents (for example, claimants, doctors,… more
- Northwell Health (Westchester, NY)
- …companies. + Resolves issues related to credentialing, managed care participation, claims payment , demographic changes, referrals, and accessibility. + Responds ... to physician requests, provides updates and resolves issues. + Coordinates and implements credentialing activities to assist providers with the completion of applications for network contract offerings; monitors applications and follows-up as needed. +… more
- Baldwinsville Central School District (Baldwinsville, NY)
- …cash disbursements and reviews transactions for accuracy. May check purchase orders and claims for payment ; posts or supervises posting to appropriate ledger. ... May prepare ledger cards for machine or manual posting; checks accuracy of posting. May reconcile balances in various ledgers with comptroller's report ie, disbursements and balances in appropriate codes. Compiles figures for annual budget preparation,… more
- City of New York (New York, NY)
- …services for DOT Asphalt Plants and vendor-supplied asphalt, assess payment penalties for out-of-specification materials, and conduct extensive research and ... and deviations. Conduct analysis and recalculation to confirm/verify vendors claims of quality, quantity, and other specifications. Conduct field inspection… more
- University of Rochester (Rochester, NY)
- …as to why claims are not paid and steps necessary for processing/ payment . - - Initiate collection phone calls to insurance companies to determine reason for ... claim denial or reason for unpaid claim. Address unpaid claims , and solicit a payment date from the payer. - - - Research and calculate underpaid or overpaid … more