- Northwell Health (New York, NY)
- …billing procedures and to explain company coverage guidelines + Assists TPA with provider compensation configuration by creating and testing compensation grids ... used for reimbursement and claims processing + Ensures that refund checks are logged and processed, enabling expedited credit of monies returned + Analyzes check return/refunds volumes and trends to determine root causes. Proposes workflow changes to correct… more
- City of New York (New York, NY)
- …include, but are not limited to: - Supervise and provide oversight to all TPA and Admin. Assistant, ensuring efficiency and high performance. - Provide coverage and ... perform critical functions during staff absences. - Manage case postings, maintain the activity log, and handle emails related to outstanding cases. - Process digital submissions, follow up on returned indictments and outstanding paperwork, and review… more
- Trinity Health (Syracuse, NY)
- …and dressing changes, CVAD dressing changes, CVAD troubleshooting including TPA administration, accessing and de-accessing implanted port systems, administering ... PPD/allergy panels, consult and treatment of extravasations, teaching peers and medical residents and obtaining laboratory specimens as needed. Our nurses are experts. We have a nurse driven Line Strategy and Bedside PICC insertion team to consult, collaborate… more
- City of New York (New York, NY)
- …enthusiastic Trial Preparation Assistants I in the Domestic Violence Bureau. TPA I's provide essential administrative support to the Assistant District Attorneys, ... Judges, and courts. JOB RESPONSIBILITIES: - Following up on subpoenas and outstanding NYPD Discovery Requests. - Draft and serve Orders to Produce, Writs of Habeas Corpus, and Motions. - Pick up/drop off status sheets to Court/Obtain Certified Documents. -… more
- City of New York (New York, NY)
- …the Bronx District Attorney's Office is seeking a well-qualified Trial Preparation Assistant 2 ( TPA 2) in the Homicide Bureau to aid in all aspects of case ... preparation from intake to final disposition. A Trial Preparation Assistant Level 2 provides essential administrative support to the Assistant District Attorneys, Judges, and courts. JOB RESPONSIBILITIES: - Compile, analyze, redact, and reproduce case… more
- The Hartford (Clinton, NY)
- …all aspects of program management such as actuarial pricing, claim or TPA oversight, reinsurance accounting and collateral management. + Possesses a deep ... understanding of the business. + Demonstrated responsiveness and dedication to customers and follow through on service commitments + Manage program to achieve underwriting excellence, pricing adequacy and targeted ROE's. Production Underwriting and Sales +… more
- Axis (New York, NY)
- …investigation, analysis and evaluation of coverage liability within best practices for first- party and third - party claims for environmental cleanups, toxic ... experience practicing law as well as claims management (both directly managed and TPA managed claims) + Demonstrated ability to influence and collaborate at all… more
- Mount Sinai Health System (New York, NY)
- …implementation and maintenance of contracts and pricing agreements as well as TPA administration 3. Regulatory & Compliance * Ensures proper purchasing practices and ... documentation in compliance with DEA, FDA, state board regulations, and hospital policies. * Supports 340B inventory segregation and replenishment requirements if applicable. * Participates in compliance audits and accreditation surveys (eg, ACHC, URAC). 4.… more
- The Cigna Group (New York, NY)
- …only clients to move to an integrated program + Partner with brokers, TPA , employer groups, benefit consultants, and state and federal government with plan benefits. ... + Holds monthly strategic meetings with client managers on pharmacy best practices + Work with implementation team to insure a smooth transition **Qualifications** + Bachelor's degree preferred + 2 plus years in the PBM sector including product and pricing +… more
- Highmark Health (Albany, NY)
- …overdue payments, Resolution of inquiries related to broker commissions or TPA 's, Creation of monthly reports detailing problematic accounts, Termination of groups ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or participate in higher level AR tasks and projects, typically related to: Analysis and… more
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