Claims Analyst in New York

... with all groups of our firm, including our trading desk, finance and compliance teams System enhancement - Collaborate with other Firm team members in developing new firm initiatives to optimize efficiency and grow the business Valuation - Assist the fund accounting team with position valuation process on a daily basis as well ... Monitor foreign currency exposures and target FX trades for trading team; analyze broker financing calculations including debit/credit balance and short rebate charges Profile An experienced Operations Analyst at fixed income hedge fund or CLO manager 5-7 years experience in operations Experience of system and process enhancement

... processes to current technologies and help support existing business systems/processes. As a business analyst you will play a crucial role in ensuring the secure and efficient transfer of data between internal and ... and confidentiality of data during transmission. Responsibilities: Job Duties: Responsible for working with new and existing partners in the development and administration of ProActs core tools and business processes which ... to the Elevated Privileges Acceptable User Agreement Job Skills Required: Ability to understand behavior of claims systems, file feeds, and other elements related to processing accumulator data Ability to identify data ...

... and software support Update internal knowledge base software and documentation Assist in the design of new support tools and procedures Gains expertise in the Help Desk platform Escalation Technician Answers, records, ... recognizes potential problems and trends in reported issues Identifies and recommends resolutions, new/enhanced training, tools, and processes leading to improved support Works on assigned projects independently ... other Help Desk analysts Updates internal knowledge base software and documentation Assists in the design of new support tools and procedures Operate with limited supervision handling escalated calls Demonstrate subject ...

... of front end and pharmacy on-hand balances and pricing. Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods including ... excess inventory returns or interstore pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for basic department pricing, including daily ...

... of front end and pharmacy on-hand balances and pricing. Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods including ... excess inventory returns or interstore pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for basic department pricing, including daily ...

... knowledge of information technology associated with pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers to provide support to patients as well as pharmacy staff. Seeks new and better ways to further promote productivity. Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. Follow-up with medical providers offices to clarify prescribed medications, dosages, refills, interactions, and allergies ...

... submission of claims and follow-up of claims, review and appeal denied claims. B. Post and reconcile cash. C. Create and submit electronic claims to Medicare and ... 4. Implement new protocols and procedures to enhance patient accounts department. 5. Month-end processing including assigning and printing of claims, A/R balancing, ... for billing, data entry, payer changes and programming needs. 8. Train staff for new policies and/or billing procedures for CHHA, Hospice, flu and vaccine clinics, ... (as authorized by Hospice Clinical Managers). 16. Research & implementation of new programs for A/R Department ex. NP Program, Medicaid EPS, TPL project, Medicare ...

... Federal guidelines governing the practice of Pharmacy Follows the Kinney Standard of Practice to dispense prescriptions and counsel patients Insure that every prescription has been checked by a pharmacist prior to dispensing to the patient Assist in the initial submission, and resubmission (as required) of all third party claims Assist in the management of the pharmacy inventory, including transmitting, processing and receiving orders to the Kinney Warehouse and additional suppliers as needed Assist in the checking of pharmacy inventory for outdates and processing all returns Locating prescription files and other manual records from storage as ...

... knowledge of information technology associated with pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers to provide support to patients as well as pharmacy staff. Seeks new and better ways to further promote productivity. Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. Follow-up with medical providers offices to clarify prescribed medications, dosages, refills, interactions, and allergies ...

... knowledge of information technology associated with pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers to provide support to patients as well as pharmacy staff. Seeks new and better ways to further promote productivity. Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. Follow-up with medical providers offices to clarify prescribed medications, dosages, refills, interactions, and allergies ...

... knowledge of information technology associated with pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers to provide support to patients as well as pharmacy staff. Seeks new and better ways to further promote productivity. Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. Follow-up with medical providers offices to clarify prescribed medications, dosages, refills, interactions, and allergies ...

... of front end and pharmacy on-hand balances and pricing. Responsible for executing and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods including ... excess inventory returns or interstore pharmacy transfers where applicable for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims. Completes execution of all pricing activities including price changes, markdowns, and markdowns deletes. Responsible for basic department pricing, including daily ...

... and external needs. Maintain awareness of customer acceptance and patronage of facility. * Works with the GM and team to schedule turn keys and ensures apartment units are available for schedule resident move in. * As necessary, completes all required paperwork for all liability, workers compensation and property insurance claims. * Shows and leases apartments as necessary. * Achieves high productivity through reliable and punctual attendance and report any tardiness, attendance, and disciplinary issues to immediate supervisor. * Other duties as assigned. Minimum Qualifications/Skills: (include key differentiators) * Knowledge or experience in ...

... knowledge of information technology associated with pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers to provide support to patients as well as pharmacy staff. Seeks new and better ways to further promote productivity. Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. Follow-up with medical providers offices to clarify prescribed medications, dosages, refills, interactions, and allergies ...

... knowledge of information technology associated with pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers to provide support to patients as well as pharmacy staff. Seeks new and better ways to further promote productivity. Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. Follow-up with medical providers offices to clarify prescribed medications, dosages, refills, interactions, and allergies ...

... knowledge of information technology associated with pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers to provide support to patients as well as pharmacy staff. Seeks new and better ways to further promote productivity. Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. Follow-up with medical providers offices to clarify prescribed medications, dosages, refills, interactions, and allergies ...