- City of New York (New York, NY)
- …payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their ... revenue collection for outstanding balances. Investigate and research unidentified claims /payments received to determine its appropriateness to deposit the payments.… more
- CVS Health (Phoenix, AZ)
- …of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit Programs, review ... pharmacy submitted Medicare claims , make independent decisions, and call network pharmacies to...partners to develop and communicate business objectives. **Required Qualifications** - 1 + year(s) combined experience in a PBM or pharmacy.… more
- Highmark Health (Montpelier, VT)
- …**Required** + 3 - 5 years in a relevant operational area (eg customer service, claims , enrollment and billing, etc.) to include 1 - 3 years of technical ... application experience **Preferred** + 1 - 3 years in the Health Insurance Industry + 1 - 3 years in the Healthcare Industry + 1 - 3 years in Lean/Six Sigma… more
- City of New York (New York, NY)
- …systems and tools to support public health research and analysis to ensure claims submitted to the Grantors are accurate and timely. - Maintain research cost ... ###. Residency Requirement CITY RESEARCH SCIENTIST - 21744 Qualifications 1 . For Assignment Level I (only physical, biological and...to Assignment Level II and above, candidates must have: 1 . A doctorate degree from an accredited college or… more
- World Insurance Associates, LLC. (Syosset, NY)
- …cases + Create monthly financial reporting packages including detailed premium, claims , membership, commission, and cash reconciliation information + Create weekly, ... Degree or the recognized equivalent in education and experience, required + 1 + years of Employee Benefits insurance underwriting experience, carrier or brokerage… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …related field + Active involvement in the actuarial examination process with 1 completed exam preferred + Working knowledge of Microsoft Office, particularly ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- NTT DATA North America (Warren, NJ)
- …hands-on experience in executing successful data migration initiatives. Key Responsibilities: 1 . Industry Expertise: - Provide insights into best practices within ... data migration projects. - 5+ years experience with insurance products, underwriting, claims , and regulatory requirements. - 7+ years experience in data migration… more
- UnityPoint Health (Moline, IL)
- …Area of Interest: Patient Services + Salary Range: $18.34-$27.52/Hr* + FTE/Hours per pay period: 1 .0 + Department: Financial Counseling + Shift: M - F 8:00 - 4:30 + ... and others for high deductible, out-of-pocket expenses, unresolved or pending claims , out-of-network procedures and other financial risk issues + Counsels patients… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Transportation, Department of Title Professional Engineer 1 (Civil/Transportation), NY HELPS - Region 3 Occupational Category IT Engineering, ... position may be as the Region 3 Accident Damage Recovery and Claims Manager.Reassignments within Transportation Maintenance to address operational needs can be… more
- The County of Los Angeles (Los Angeles, CA)
- …five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of ... attaching to your application or emailing to the exam analyst . Physical Class II Light - This class includes...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
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