- WMCHealth (Valhalla, NY)
- Claims Investigator Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non-Clinical Department: Risk Management- WMC ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26645) Internal Applicant link Job Details: Job Summary: The Claims Investigator is responsible for the management… more
- Command Investigations (New York, NY)
- …for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... Auto, or Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... Employment Opportunity & Diversity Office seeks to hire an experienced EEO Investigator who will be responsible for conducting complex complaint investigations, as… more
- City of New York (New York, NY)
- …in their agreement to repay. Claims &Collection is recruiting for (4) four Fraud Investigator II to function as a Senior Fraud Investigator , who will: - Send ... Job Description Claims and Collections pursues monetary recoveries owed to...and one year of satisfactory, full-time experience as an investigator as described in "1" above; or 3. A… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... recommendations. 5. In conjunction with the assigned Incident Management Investigator Specialist, prepares investigative reports and forwards completed reports to… more
- City of New York (New York, NY)
- …Safety seeks to hire an Environmental, Health and Safety Incident/Workplace Violence Investigator located in Flushing, New York. Under general direction, but with ... selected candidate will be responsible for the following: 1) As a lead Investigator or part of an investigation team conduct investigations into incidents such as… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Type of Position Per Diem Search Location(s) Manhattan, NY Apply Now ... investigations. 6. In conjunction with the assigned Incident Management Investigator Specialist, prepares investigative reports and forwards completed reports to… more
- Centene Corporation (New York, NY)
- …fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare ... mining and analysis to detect aberrancies and outliers in claims + Develop new queries and reports to detect...**Please note: this is a remote position, however, this investigator will need to reside within the state of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Accounting Clerk (Commercial Claims Follow-up) Full-Time M-F 9AM to 5PM East 42nd Street** Under the supervision of the Patient Financial ... from Mainframe System to Clearing House. Transmits all clean claims daily to Clearing House and other direct payers....and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… 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 ... required. Familiarity with CPT and ICD (coding and CCI edits). + Electronic claims processing preferred. **Responsibilities** 1. Follows up on submitted claims ,… more
- Mount Sinai Health System (New York, NY)
- …coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator or Manager… more
- Mount Sinai Health System (New York, NY)
- …+ High school graduate + Three years experience with medical billing and claims Non-Bargaining Unit, BLK - Patient Accounts - NYEE, New York Eye and ... **Responsibilities** + Oversees work of non-supervisory employees engaged in processing claims , maintaining related files and logs, and checking patient eligibility… more
- Mount Sinai Health System (New York, NY)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution. **Qualifications** + Associates ... + 3 years experience in medical billing or health claims , with experience in IDX billing systems in a...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution, ensuring accurate and timely payment of claims and collection. Provides education and guidance on coding and claims ... + 5 years experience in medical billing or health claims , with experience in IDX billing systems in a...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …proficient in these processes to ensure accurate and timely payment of claims and collection. This individual coordinates all activities related to analysis, ... + 5+ years experience in medical billing or health claims , with experience in current electronic billing systems in...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Mount Sinai Health System (New York, NY)
- …demonstrates proficiency in these processes to facilitate accurate and timely payment of claims and collection, and is considered a subject matter expert for those ... 3+ years of experience in medical billing or health claims , with experience in billing systems in a health...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more
- Merck (Manhattan, NY)
- …for approved, in-development, and active Company-sponsored trials and/or investigator -sponsored research studies. The Regional Medical Scientific Director serves ... the company's areas of interest _*Scientific exchange does not include promotional claims about any drug, vaccine, or biologic product._ Regional Medical Scientific… more
- Mount Sinai Health System (New York, NY)
- …primarily responsible for receiving prescriptions, addressing and rectifying rejected claims , conducting and completing necessary third party (insurance) prior ... **Responsibilities** 1. Receives prescriptions, with appropriate follow up on rejected claims . 2. Completes third party prior authorization requests and verifies… more
- Mount Sinai Health System (New York, NY)
- …appeals opportunities with payors and networks, and reporting performance on underpaid claims . **Qualifications** + Bachelor's degree or greater in related field or ... + 2 years minimum of managed care experience in claims or contracts + Advanced knowledge of Epic and...and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges.… more