- Allied Universal (Saratoga Springs, NY)
- …a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for Insurance ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....+ Ability to be properly licensed as a Private Investigator as required by the states in which you… more
- Allied Universal (Albany, NY)
- …difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....+ Ability to be properly licensed as a Private Investigator as required by the state where work Is… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=7108) Job Brief The Incident Management Investigator assists with completing thorough investigations into situations which… more
- Sedgwick (Albany, NY)
- …Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty claims investigation and analysis through examination of the loss, collection of ... By joining Sedgwick, you'll be part of something truly meaningful. It's what our...+ Runs and interprets formal background checks related to claims through online resources, evaluating the results as it… more
- The Robison Group (Brooklyn, NY)
- …submit your FULL resume, including salary requirements. Department SIU Employment Type Part time Minimum Experience Experienced Compensation $25-$35 Hourly ... be fluent in writing, reading and speaking Spanish. This is a remote opportunity for part - time employment in our Special Investigations Unit (SIU). As an SIU … more
- The Robison Group (Albany, NY)
- …Field Operations Manager, Case Management, etc. Department Surveillance Employment Type Part time Minimum Experience Experienced Compensation $22-$28 per hour ... the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations ... Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate… more
- New York State Civil Service (Buffalo, NY)
- …(PEF) Salary Range From $50844 to $76359 Annually Employment Type Full- Time Appointment Type Permanent Jurisdictional Class Competitive Class Travel Percentage 60% ... of relevant information technology, including but not limited to the Investigator Mobile Application, IC2, CIS, and Insurance Compliance Investigation Maintenance;… more
- Greece Central School District (North Greece, NY)
- …Minimum Requirements: Graduation with a Bachelor's degree, plus five (5) years paid full- time or its part - time equivalent experience managing or coordinating ... practices of the workers' compensation law, risk management, and third party liability claims ; Working knowledge of the legal system as it relates to workers'… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that...outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education,… 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 ... coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems...inpatient encounters. 20. May be responsible for collection of time of service payments, and maintaining daily transaction record… more
- Mount Sinai Health System (New York, NY)
- …in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** **Education requirements:** + High School diploma/GED ... + 2 years experience in medical billing or health claims with IDX billing systems in a health care...hours schedules. + May be responsible for collection of time of service payments, and maintaining daily transaction record… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring 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)
- …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator.… more
- Mount Sinai Health System (New York, NY)
- …knowledge of a health care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as IDX, ... **Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …Manager, a typical day may include:** + Act as the lead investigator on employee concerns including devising investigation strategies, reviewing data and documents, ... compliance and legal teams and HR leadership to address Ethics Points claims + Appropriately document, maintain, and handle sensitive and privileged and confidential… more
- Mount Sinai Health System (New York, NY)
- …**Senior Revenue Accountant-(Revenue Cycle) Patient Financial Services- Corporate 42nd Street-Full- Time Days (Hybrid)** The Senior Revenue Accountant for the Mount ... written communication and organizational abilities. Accuracy, attentiveness to detail and time management skills are required. + Ability to interact effectively with… more
- Mount Sinai Health System (New York, NY)
- …RCM EPIC Optimization Patient Financial Services -Corporate 42** **nd** **Street- Full- Time -Days (Hybrid)** The Director of EPIC Workflow Optimization for the Mount ... in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred. + Minimum 7-10 years of progressive… more
- Mount Sinai Health System (New York, NY)
- …Description** **Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full- Time -Days -Remote** The Director, Pre Appeals Management is a ... + Insurance: Understanding of benefits verification, coverage determination, or claims workflows + Fintech/IT: EPIC **Describe Work Environment** Office-based May… more