• Payments & Fraud Specialist

    Solvay Bank (Syracuse, NY)
    …Consider an exciting opportunity as part of our Customer Relations and Operations center team. Payments & Fraud Specialist The Payments & Fraud ... https://dol.ny.gov/system/files/documents/2023/06/p690-your-rights-as-an-employee-to-express-breast-milk-at-work-.pdf https://dol.ny.gov/system/files/documents/2022/02/ls740\_1.pdf Position Title: Reports To: Payments and Fraud more
    Solvay Bank (01/02/25)
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  • Investigator, Coding SIU (Remote)

    Molina Healthcare (Syracuse, NY)
    …Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional ... Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from… more
    Molina Healthcare (12/15/24)
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  • Outpatient Administrative Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Outpatient Administrative Specialist will perform standardized patient check-in and check-out procedures for a high volume of patients (in all ... of pocket" costs of care. Will collect amount due or offer payment plan and/or provide information about financial assistance programs. The Outpatient Administrative… more
    SUNY Upstate Medical University (10/16/24)
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  • Patient Benefit Specialist - Remote

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …to ensure member satisfaction + Work with members to provide resolution to payment related issues on accounts/orders + Maintain and keep reasonable production as ... screening test **Required Training:** + HIPPA Privacy Course + HIPPA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course + HIPPA Privacy CE Mastery… more
    KPH Healthcare Services, Inc. (12/17/24)
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  • Individual Disability Claims Specialist II

    MetLife (Oriskany, NY)
    …at depositions and trials. When needed, collaborates with underwriting department and Fraud Waste and Abuse partners. . Proficiently calculates monthly benefits due ... to include COLA, Social Security Offsets, and Residual Disability and non-routine payments . Documents claim files with monthly payments . . Prepares freeform… more
    MetLife (12/13/24)
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  • Lead Long Term Disability Claims Specialist

    MetLife (Oriskany, NY)
    …Security Offsets, and Rehab Return to Work benefits, and other non-routine payments . * Collaborates effectively with both external and internal resources, such as ... inconsistencies when gathering information during claim evaluations and collaborates with Fraud Waste and Abuse resources as needed and addresses/resolves escalated… more
    MetLife (11/29/24)
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