- BronxCare Health System (Bronx, NY)
- …clinical/administrative department. This position isresponsible for general office operations , filing, organizing and overall administrative performance. The ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Modivcare (NY)
- …necessary. + Works as a liaison between the internal billing team, Central Operations and authorizations to correct errors and verify service. + Provides system ... Troubleshoots any problems, concerns, difficulties with the system and communicates to Supervisor or Manager. + Follows SOX compliance within systems as outlined. +… more
- OLV Human Services (Lackawanna, NY)
- …standards 8. Work directly with all Program Staff on all aspect of operations , both clinical and administrative as needed 9. Participate in all required employee ... all federal and state regulations and agency policies pertaining to HIPAA, false claims , whistleblower policies and all others 11. Keep all patient, personnel and… more
- Independent Health (Buffalo, NY)
- …self-funded pharmacy calls preferred. + Experience in a call center operations environment preferred. + Demonstrated ability to effectively communicate with internal ... receive and effectively resolve written inquiries from members regarding claims , benefits, eligibility, reimbursement and participating providers. + Knowledge of… more
- SUNY Morrisville (Morrisville, NY)
- …and related services. This role is responsible for managing parking operations , including ticketing, decal sales, and inventory; processing LENS/DMV submissions; ... and files. + Receive, screen, review, and verify documents, forms, applications, claims , and other documents for completeness, content, and accuracy. + Establish new… more
- MTA (New York, NY)
- …$189,990 HAY POINTS: 805 DEPT/DIV: IT / Product Management & Engineering SUPERVISOR : Director, Product Development LOCATION: Various/ 2 Broadway, New York, NY 10004 ... of low-code/no-code platforms such as Power Platform. + Experience with Claims Management and Legal Case Management applications, and specify which products… more
- University of Rochester (Rochester, NY)
- …relations skills. In accordance with the URMFG United Initiative, the CA Operations Supervisor while collaborating with other key stakeholders will develop ... signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information and drafts for provider… more
- BronxCare Health System (Bronx, NY)
- …Care Units to perform clerical and receptionist duties related to the day-to-day operations of the Nursing Units. Are responsible for the coordination of unit ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
- Albany Leadership (Albany, NY)
- …for the purpose of ensuring that the site is suitable for safe operations , maintained in an attractive and clean condition, and/or identifying necessary repairs due ... forms and input into the system ? Monthly CN Claims processing ? Assist in ordering and prepping all...and other duties as assigned or required by the supervisor . Desired Skills: ? Ability to complete 10 hours… more
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