- KONE, Inc (New York, NY)
- …areas where you work with complex accounts and customers to resolve escalated disputes ? + Are you skillful with technological tools such as proficiency in collection ... You'll develop collection strategies, managing a team, and ensuring compliance with relevant laws and regulations. You will also...+ Passionate about safety, quality, and innovation + We care about the communities where we live and work.… more
- Ankura (New York, NY)
- …is a team of excellence founded on innovation and growth. Ankura's Disputes & Economics professionals are world class and globally recognized independent experts ... who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges....Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven practices… more
- Ankura (New York, NY)
- …A recognized leader in healthcare litigation support, Ankura's Healthcare Disputes team combines unparalleled clinical, technical, and operational experience with ... analytical offerings for our clients that reveals how this information impacts legal disputes that these companies may be facing. We combine in-depth operational, … more
- Molina Healthcare (Yonkers, NY)
- …to review compliance -based issues for benefit planning purposes. **Recoveries & Disputes ** + Review and validate provider complaints and payment disputes , ... disputes , appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical...years of experience in previous roles in a managed care organization, health insurance or directly adjacent… more
- Mount Sinai Health System (New York, NY)
- …advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific ... integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative… more
- Mount Sinai Health System (New York, NY)
- …degree preferred + 4 years of insurance billing and collection procedures in a health care environment + Excellent written, verbal and interpersonal skills + ... charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications**...all people, everywhere, by taking on the most complex health care challenges of our time -… more
- YAI (Manhattan, NY)
- …turning and/or using lifts, colostomy, ostomy and catheterization. Works with RN, LPN and Health Care Specialist to ensure the medical needs of people supported ... pressure, heart rate) + Scheduling/following up on appointments in coordination with Health Care Specialist and appropriate nursing staff + Performing catheter… more
- Comerica (New York, NY)
- …such as life insurance, AD&D, and supplemental health programs to offset unexpected health care expenses. We also have a variety of time off programs for ... responses to incoming correspondence and any other client requests to ensure compliance with the governing document, applicable law and policies and procedures.… more
- YAI (Rockland County, NY)
- …to the community. + Responsible for the overall supervision, protection, and care of individuals at all times including maintenance of program guidelines for ... signs of an individual's potential harm to self or others. + Ensures health , wellness and safety by providing appropriate supervision of the people we support… more
- YAI (Bronx, NY)
- …indicated in job description, ensuring the overall supervision, protection and care of individuals, assisting individuals in maximizing their strengths, interests, ... activities that provide social capital and connections to the community. + Ensures health , wellness and safety by providing appropriate supervision of the people we… more
- YAI (Hackensack, NJ)
- …to the community. + Responsible for the overall supervision, protection, and care of individuals at all times including maintenance of program guidelines for ... signs of an individual's potential harm to self or others. + Ensures health , wellness and safety by providing appropriate supervision of the people we support… more
- AIG (New York, NY)
- …employee benefits and resources that help you protect what matters most - your health care , savings, financial protection, and wellbeing. We provide a variety of ... manage risks and provide financial security. Make your mark in Global Legal, Compliance and Regulatory Our Global Legal, Compliance and Regulatory (GLCR) team… more
- Pfizer (Pearl River, NY)
- …eligibility. **Sunshine Act** Pfizer reports payments and other transfers of value to health care providers as required by federal and state transparency laws ... and regulations require Pfizer to provide government agencies with information such as a health care provider's name, address and the type of payments or other… more
- Comerica (New York, NY)
- …such as life insurance, AD&D, and supplemental health programs to offset unexpected health care expenses. We also have a variety of time off programs for ... responds to incoming correspondence and any other client requests to ensure compliance with the governing document, applicable law and policies and procedures. Works… more
- Comerica (New York, NY)
- …such as life insurance, AD&D, and supplemental health programs to offset unexpected health care expenses. We also have a variety of time off programs for ... responds to incoming correspondence and any other client requests to ensure compliance with the governing document, applicable law and policies and procedures. Works… more
- Sedgwick (New York, NY)
- …Suite (Excel, Word, Outlook). + Ability to negotiate settlements and resolve claims disputes effectively. **TAKING CARE OF YOU** + Flexible work schedule. + ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. + Acts… more
