- Travelers Insurance Company (Albany, NY)
- …which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations and medical ... guidelines to establish medical review policies. Works in close collaboration with the Claim...as appropriate. Train and evaluate physician and non-physician medical review personnel and activities. + Stay apprised of changes… more
- Trinity Health (Albany, NY)
- …Practice Management to identify educational opportunities as necessary. + Responsible for review of denial/ rejections and write off dashboards for trends and ... "Clean Claims" + Works within the working queue to review all charges and submit to claims scrubber +...timely basis + Identify any problematic charges for further review to correct coding/billing issues + Adhere to productivity/quality… more
- Molina Healthcare (Syracuse, NY)
- …at a health plan or vendor-is strongly preferred. **Knowledge/Skills/Abilities** + Review Medicaid COB claims for correct secondary pricing logic and compliance ... as needed. + Utilizes SQL to pull data for review and distribution. + Accurately interprets end to end...automated configuration processes/solutions + Assist manager in establishing peer review standards and methodology + Research and review… more
- Bassett Healthcare (Cooperstown, NY)
- …timely and accurately during downtime procedures, as measured by random supervisory review of order processing. Maintains the patient's medical record according to ... unit and organizational standards, as evidenced by supervisory chart review . Updates patient clinical information systems in a timely manner in order to assure… more
- Stony Brook University (Commack, NY)
- …+ Responsible for running daily DNFB reports and distributing to Senior Staff + Review multiple and various daily reports for any add on payment information and ... or for a maximum of 90 days. An initial review of all applicants will occur two weeks from...full consideration, applications must be received before the initial review date (which is within two weeks of the… more
- Gateway Hudson Valley (Kingston, NY)
- …that competencies are validated by the responsible individual. + Monitor and review IRA resident and selected trainee medical files to ensure timeliness, accuracy, ... taught to identified VTS, Work Center, and Residential staff. Review the content to assure it meets regulatory requirements...member of the Health and Safety, Intake/Termination and Incident Review Committees. + Function as a liaison with outside… more
- Bank of America (New York, NY)
- …and the FLUs + Identification of Risks, including severity and likelihood as well as review & challenge the Line of Business + Define the Liquidity Risk Limits and ... + Understand the results expected from limit setting and review methodology used to ensure results were as expected....Intraday under business as usual and stress scenarios) + Review Contingent Funds Transfer Pricing and whether it is… more
- FlexStaff (New York, NY)
- …onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager ... delivery model. Escalates questions or concerns during the assessment to the quality review team to ensure appropriate completion of UAS-NY and handling of on-site… more
- The Estee Lauder Companies (Melville, NY)
- …Helper/Batch Reviewer's primary responsibility concerns manufacturing batch record control and review . This includes collection, review , correction and data ... to meet and exceed job requirements.KEY ROLES & RESPONSIBILITIESDocument Review ⁃ Conduct documentation reviews within the Compounding Department for compliance… more
- MTA (New York, NY)
- …counseling. + Responsible for the discipline/termination of employees when necessary. + Review the performance of staff. + Create a professional environment that ... to their full potential. + Assist in the preparation, review , and submission of NYCTA and MaBSTOA financial packages...close by preparing journal entries with adequate support. + Review trend reports and provide explanations for account variances.… more