- CVS Health (Albany, NY)
- …client expectations and business needs related to plan drafting and issue resolution . Designs and implements processes to ensure efficient, accurate drafting, with a ... compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue … more
- Jacobs (Garden City, NY)
- …public facing materials, public interactions, and responses * Monitor damage and public claims and ensure satisfactory resolution . * On a monthly basis review, ... Jacobs is where you belong. We're seeking an experienced and collaborative Sr. Project Manager in Albany, NY who thrives when people are in sync and projects are… more
- City of New York (New York, NY)
- …seeks a highly qualified candidate to join the Client Services team as a Senior Executive Director. The Senior Executive Director will be responsible for ... a multi-provider network of service providers. In addition, the Senior Executive Director will also be a subject matter...also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
- Mount Sinai Health System (New York, NY)
- …payment of claims and collection, and in analysis and problem resolution . **Qualifications** + Associates Degree or high school diploma/GED plus 3 years of ... **Job Description** ** Senior Billing Specialist-Obstetrics and Gynecology Administration-Mount Sinai Beth...+ 3 years experience in medical billing or health claims , with experience in IDX billing systems in a… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist- Senior will be responsible for reviewing coding and clinical decisions on ... audit tips across the team. The Clinical & Coding Specialist- Senior will support the leadership in Hospital Audit in...and Accountable. **Essential Accountabilities** + Assume role of project manager as it relates to the re-engineering of the… more
- Leprino Foods (Waverly, NY)
- The Human Resources Clerk VII ( Senior HR Administrator) provides complex administrative, project, and day-to-day functional support to the Human Resources Department ... oversight. This is an hourly position reporting directly to the Human Resources Manager , supporting a 24/7 manufacturing environment. Average hourly rate of pay for… more
- Molina Healthcare (Yonkers, NY)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Highmark Health (Albany, NY)
- …aging reports, Telephone contact with account representatives concerning overdue payments, Resolution of inquiries related to broker commissions or TPA's, Creation ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or… more
- NBC Universal (New York, NY)
- …responses + Advise business clients and senior management on strength of claims and defenses, dispute avoidance and resolution + Respond to third-party ... spin-off is expected to be completed during 2025. The Senior Counsel, Litigation and Regulatory will be responsible for...This is a Versant position. Job Duties + Analyze claims and formulate litigation for early case resolution… more