- Molina Healthcare (Buffalo, NY)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied ... Health Plan SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive oversight. + Collaborates with… more
- City of New York (New York, NY)
- …and logistics administration. The A&CM Division's Strategic Services Department seeks a Payment Certifier. Reporting to the Payment Administrator, the successful ... candidate will ensure that all payments are certified accurately and efficiently. Duties and responsibilities include, but...limited to the following: 1. Certify partial and final payment requisitions. 2. Review payment requisition for… more
- City of New York (New York, NY)
- …assigned to this position include the analysis, control and processing of complex payment submissions. They will also analyze and resolve issues related to capital ... administrative activities related to the data entry and processing of these vendor payment requests. Must be able to interact and communicate effectively with fiscal… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Payment Integrity Professional 2 contributes to overall cost reduction by utilizing code editing ... guidelines and data anomalies to ensure correct claim payment . The Payment Integrity Professional 2 work...zone. **What you need for success! Required Qualifications** + ** Certified Professional Coder with either AHIMA or AAPC certification**… more
- City of New York (New York, NY)
- …30-30 Thomson Avenue, LIC, NY 11101 The candidate will prepare Miscellaneous Payment Vouchers for reimbursement of personal expenses of DDC employees including on ... for professional licenses and certification. Candidate is expected to review payment requests against the Comptroller's Directive. Prepare agency checks for DDC's… more
- City of New York (New York, NY)
- …for one (1) Principal Administrative Associate III to function Principal Payment Analyst/Invoice Reports Coordinator who will: - Design, customize and maintain ... and complexity of this Citywide contract. The specific reports include the Bi-Weekly Payment Report, which details all invoices by location and serves as a Master… more
- Walmart (Fishkill, NY)
- …refunds and exchanges using appropriate procedures for different membership and payment types. Provides Pharmacy products and services to Members in accordance ... with Company policies and procedures by assisting with processing prescription and OTC orders and purchases stocking and securing Pharmacy supplies and merchandise entering prescription information or filing prescriptions and completing and maintaining… more
- BronxCare Health System (Bronx, NY)
- …the clinical information system for accurate APC, EAPG assignments. Identifies non- payment conditions (HAC) and when required, report through established procedures. ... 6. Describe responsibility:Must maintains Coding credentials by completion of educational programs that provide updated training and skills to allow continued competence in Coding by earning the required number of continuing education units. - Abstracts from… more
- Citizens (New York, NY)
- …provide and direct complex analysis on embedded banking relationships and payment structures to establish mitigating controls, risk thresholds, and continuously ... and risk management methodologies, including COSO and OCC Heightened Standards. + Payment Products: Foundational knowledge of core payment capabilities in the… more
- University of Rochester (Rochester, NY)
- …based on high dollar amounts, multiple payers, unique billing and/or payment arrangements, and specialized services. Revenue Collection activities focus on an ... based on high dollar amounts, multiple payers, unique billing and/or payment arrangements, and specialized services. Revenue Collection activities focus on an… more
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