• 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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  • Sr. Manager , Digital Product - Fraud

    CVS Health (Albany, NY)
    …to power the growth of tomorrow's business! As a Sr. Manager, Digital Product for Fraud , Waste & Abuse (FWA), you will oversee the maintenance and growth of the FWA ... in impact annually. Your work will directly impact the CVS Health Payment Optimization Analytics goals and contribute to achieving medical cost savings, revenue… more
    CVS Health (01/06/25)
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  • Financial Crimes Blockchain Analytics Risk…

    New York State Civil Service (New York, NY)
    …Certification.o Association of Certified Financial Crime Specialists: Certified Financial Crime Specialist .o Association of Certified Fraud Examiners: Certified ... Title Financial Crimes Blockchain Analytics Risk Associate (Financial Services Specialist 4 (Financial Crime Risk), SG-27) Occupational Category Other Professional… more
    New York State Civil Service (12/19/24)
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  • Finance Specialist

    Chautauqua Opportunities (Dunkirk, NY)
    FINANCE SPECIALIST Dunkirk, NY (http://maps.google.com/maps?q=17+W.+Courtney+St.+Dunkirk+NY+USA+14048) Job Type Full-time Description Position Data: Title: Finance ... Specialist Grade: 6 Exempt Non-ExemptX Reports to: Accounting Manager...and electronic and reconciles invoices to purchase orders before payment . * Monitors the purchase order and requisition modules… more
    Chautauqua Opportunities (12/10/24)
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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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  • Banking and AR Specialist

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    About the Role We are seeking a Banking and AR Specialist with strong attention to detail, excellent time management skills, and a proactive approach to exceeding ... Responsibilities + Banking: Reconcile accounts, manage daily cash flow, process payments (wires, ACH, checks), and maintain banking relationships. + Banking… more
    Brighton Health Plan Solutions, LLC (12/25/24)
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  • Virtual Currency Senior Blockchain Analytics…

    New York State Civil Service (Albany, NY)
    …Title Virtual Currency Senior Blockchain Analytics Analyst (Financial Services Specialist 2 (Financial Crime Risk), SG-23) Occupational Category Other Professional ... 9714 Orders and escalates findings to management;* Conducts investigations on fraud alerts (ie, insider trading/market manipulation) and provides written disposition… more
    New York State Civil Service (11/15/24)
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  • Specialist I, Servicing Quality Control…

    SitusAMC (Albany, NY)
    …Familiarity with fraudulent red flags and outside services used to determine or verify fraud + Ability to read and evaluate payment histories and servicing ... Borrower Complaints, Customer Service, and general loan servicing. The Specialist I will be responsible for performing these core...performing secondary QC reviews of these reviews performed by Specialist I's and their peers. As a result, the… more
    SitusAMC (01/08/25)
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  • Call Center Specialist I

    Canandaigua National Bank & Trust (Pittsford, NY)
    What does a Call Center Specialist do at CNB? At CNB, our team-oriented culture is second to none. What truly sets CNB apart is the quality and commitment of our ... employees. The Call Center Specialist at CNB is responsible for providing superior banking...systems such as core banking, debit card administration, loan payment administration and bill pay services. + Participate in… more
    Canandaigua National Bank & Trust (12/03/24)
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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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  • Loss Prevention Specialist

    Amazon (Fishkill, NY)
    Description The Loss Prevention Specialist (LPS) is a key hourly associate position within Amazon Operations. To keep our 24/7 operations network secure and assure ... confidential investigations and prepare prompt written reports of theft, fraud , and workplace violence/critical incidents * Contribute to the...A day in the life As a Loss Prevention Specialist , you will join a team of Security and… more
    Amazon (01/08/25)
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  • Virtual Currency Analyst (Financial Services…

    New York State Civil Service (New York, NY)
    …Services, Department of Title Virtual Currency Analyst (Financial Services Specialist 1 (Compliance), SG-18) Occupational Category Financial, Accounting, Auditing ... Research & Innovation Division. The Virtual Currency Analyst serves as a specialist for the regulated Virtual Currency entities, including companies holding licenses… more
    New York State Civil Service (12/04/24)
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  • Claim Specialist III - 1st Party No Fault…

    City of New York (New York, NY)
    …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... City contracts. BLA manages City risk by holding agencies accountable, rooting out fraud , and identifying trends, as well as, coordinating with the Law Department… more
    City of New York (11/16/24)
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  • Claims Coding Specialist

    Whitney Young Health Center (Albany, NY)
    Claims Coding Specialist (Req 100825) Albany, NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES: ... addition to category II coding for our value base payment arrangements. SPECIFIC RESPONSIBILITIES: + Acts as the primary...maintain standards for correct coding, minimize the risk of fraud and abuse, and optimize revenue recovery. + Assists… more
    Whitney Young Health Center (11/09/24)
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  • Claims Specialist - Liability

    Crawford & Company (Hauppauge, NY)
    …from the team members, and/or clients. + Approves payments within scope of payment authority. + Evaluates claims for potential fraud issues, loss control and ... recovery in accordance with insurance policy contracts, medical bill coding rules and state regulations. + Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of… more
    Crawford & Company (01/03/25)
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  • Internal Controls Associate (Financial Services…

    New York State Civil Service (Albany, NY)
    …Services, Department of Title Internal Controls Associate (Financial Services Specialist 4 (Compliance), SG-27) Occupational Category Other Professional Careers ... coin listings by regulated companies; and observation of the application of anti- fraud and market-manipulation policies and procedures; * May participate from time… more
    New York State Civil Service (11/28/24)
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  • Medical Billing Specialist

    KPH Healthcare Services, Inc. (Gouverneur, NY)
    …and clinical information to appropriate stakeholders (internal and external) to ensure payment for services. **Travel** : Limited travel may be required. Travel to ... screening test **Required Training:** + HIPAA Privacy Course + HIPAA Security Course + Fraud , Waste, and Abuse Course + MethGuard Course + HIPAA Privacy CE Mastery… more
    KPH Healthcare Services, Inc. (01/09/25)
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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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  • Eligibility Verification Specialist

    City of New York (New York, NY)
    …is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are categorically eligible for their respective funding streams and carry out ... Review and provide documentation for: Safety Net cases with Single Issuance payments to determine eligibility for claim adjustments, and Housing Preservation and… more
    City of New York (01/05/25)
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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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