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Proficient with CAT and AI/ML NLP tools (natural language processing), Microsoft Office Suite including Word, Outlook, PowerPoint and Teams, and Project Mgmt. systems (Net Suite, Ziflow, Asana or the same.
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About NYC Health + Hospitals
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Evaluates the merits of legal claims filed against or on behalf of the company, works with the appropriate executive(s) to define a strategic defense and, in consultation with the General Counsel, approves settlements of disputes where warranted.
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Perform and oversee billing of accounts receivable: Billing forthird party insurance, fee for service and/or Medicaid claims. Oversee Accounts Receivable Insurance Claims Specialists to ensureaccurate and timely third party insurance billing and invoicing.
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Strong computer skills (MS Word, Excel, Outlook and various in-house claims systems -Guidewire, Genius, ImageRight is a plus. Minimum of 15 years' experience required in claims or litigation management with a career history of assuming roles with increasing responsibility.
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Medical Imaging, Forms Processing, Viewing, Mobile, Compression, Barcode, DICOM, OCR, Image Processing, PDF, Scanning, Video, Web, Photo, and HTML5 Viewing. Accusoft is a software development company specializing in content processing, conversion, and automation solutions.
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Requires a demonstrated progressive understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, product pricing, network and provider contracting, and utilization management.
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Advanced knowledge of reinsurance including underwriting, claims, accounting, finance and associated process, controls and systems. Education:Bachelors Degree (Accounting or Finance Major Preferred)Advanced degree and/or designation in a related field a plus (i.e. ARe or CPCU designations, MBA, CPA, MS, PhD, ACAS, FCAS, etc.
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The Case Aide is responsible for interviewing clients, assessing eligibility and processing applications for Nassau County residents seeking financial assistance with their energy costs through the Home Energy Assistance Program (HEAP) and WRAP (Weatherization.
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We're on the hunt for a highly skilled and experienced senior data scientist to lead the delivery of Generative AI solutions at the Citi Innovation Lab. We need someone who's not just knowledgeable but hands-on, with a track record in data science, Natural Language Processing (NLP), Understanding, and Generation.
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Experience with Labor Law 200, 240(1), and 241(6), premises liability claims. 3+ years defending personal injury claims venued in NY Supreme Courts. Please consider joining our team by sending your credentials to and putting "NYC Personal Injury Defense Attorney " in the subject line.
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Other tasks will include analyzing written discovery, depositions, medical records and assessing the value of claims to determine risk exposure. Additionally, you’ll work closely with clients and claims partners to prepare timely reports on litigation, ensuring all appropriate defenses are leveraged to reach positive outcomes.
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Our history spans over 200 years and today we are a leader in investment banking, consumer and small business banking, commercial banking, financial transaction processing and asset management.
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Provides leadership and direction for the revenue cycle and ensures the integrity, accuracy and effectiveness of the professional billing cycle, including charge entry, professional coding, claims processing, cash posting, denial management and placements with third party collection agencies.
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Knowledge of the legal and procedural requirements for benefits such as Asylum, Cancellation of Removal, LPR Waivers, Waivers of Inadmissibility, TPS, NACARA, Consular Processing, and Naturalization would inform the interested party in further pursuing employment in this position.
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claims processing jobs Company: Metroplus Health Plan in Springfield Gardens, NY
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