- WMCHealth (Valhalla, NY)
- Payment Resolution Analyst Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Patient ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30906) Internal Applicant link Job Details: Job Summary: The Payment Resolution Analyst processes all out… more
- Molina Healthcare (Yonkers, NY)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied… more
- Guardian Life (Stamford, CT)
- …reports - accurately, confidentially, and within established deadlines. + Validate payment reports for accuracy and completeness, suggesting resolution of ... ready to further their career as a Sales Compensation Analyst ! We are looking for an avid learner with...of their application. **Reporting Relationship:** As a Sales Compensation Analyst , you will report to our Head of Sales… more
- SMBC (White Plains, NY)
- …within BCDAD and is responsible for the confirmation, settlement, clearance, payment and reconciliation of derivative transactions executed by the bank's domestic ... and global branch offices. The Derivatives Analyst is responsible for review of the administrators and...regulatory systems + Strong analytical, critical thinking and problem resolution skills + High level customer service mindset with… more
- Molina Healthcare (Yonkers, NY)
- …and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in defect resolution ... submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. + Researches and reviews MRDT issues...Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. +… more
- Molina Healthcare (Yonkers, NY)
- …and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in defect resolution ... is highly preferred. + Must have knowledge on Medicare payment methods + Experience on Hospital payment ...Medicare payment methods + Experience on Hospital payment methodology & processing is essential + Understanding on… more
- Molina Healthcare (Yonkers, NY)
- …planning purposes. **Recoveries & Disputes** + Review and validate provider complaints and payment disputes, ensuring accurate and timely resolution in line with ... and modifier usage. + Strong understanding of claim system configurations, payment policies, and audit processes. + Exceptional analytical, problem-solving, and… more