- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services (Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision and ... of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's… more
- New York State Civil Service (Syracuse, NY)
- …of relevant information technology, including but not limited to the Investigator Mobile Application, IC2, CIS and Insurance Compliance Investigation Maintenance; ... Compensation Law as relates to enforcement unit procedures and related claims processes. Stay abreast of enforcement-related Workers' Compensation Board program… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... cycle management, with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that involved analyzing contracts,… 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 ... CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted...payer and provider representatives to negotiate higher rates for claim payments. 6. Responds to patient and third party… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE FRAUD INVESTIGATOR CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible for ... all statutory, regulatory, and contractual standards. The Division of Claims and Collections Division (C&C) is housed within the...levels. C&C is recruiting for (1) one Associate Fraud Investigator II to function as a Group Supervisor, who… more
- NANA Regional Corporation (Washington, DC)
- …customer service and acting as a liaison to insurance companies claim services, claimants, policyholders, agents, counterparts in other departments, external legal ... with and no less than two (2) years of experience as a Background Investigator , Criminal Investigator , Security Specialist or Adjudicator with a federal agency,… more
- Boehringer Ingelheim (Athens, GA)
- …of study protocols, raw data, and reports to support registrations and other claims related to veterinary products. The SCRA performs these duties for on-site and ... + Conducts Investigation Site Visits to evaluate qualifications of the site, Investigator , and research staff. + Conducts pre-study, ongoing, and study close-out… more
- University of Colorado (Aurora, CO)
- …of an independent research career as a team scientist or as a principal investigator or continue to advance their own independent research agenda. In all cases, in ... with some exposure to clinical data; injury/mortality/morbidity data; administrative claims ; community epidemiologic data; multivariable models; repeated measures, and… more
- New York State Civil Service (New York, NY)
- …Eligible titles include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, ... underwritten* Analyze previous loss and premium data* Experience rating data and claims material to price coverage* Define, restrict, or qualify policy coverage*… more
- Three Saints Bay (Washington, DC)
- …trained by an approved or recognized training program (eg Federal Background Investigator Training Program (FBITP), local law enforcement training or Reid School) ... and have no less than two years of experience as a Background Investigator , Criminal Investigator , Security Specialist or Adjudicator with a federal agency,… more
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