- City of New York (New York, NY)
- …SNAP-CR is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review , process, determine ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
- City of New York (New York, NY)
- …SNAP-CR is recruiting for six (6) Eligibility Specialists IIs to function as a Claims Review Specialists, who will: - Review , process, determine and/or ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review… more
- City of New York (New York, NY)
- …Department of Financial Services correspondence; 6) When appropriate, negotiate and settle claims within delegated monetary authority level; 7) Review medical ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- Axis (Red Bank, NJ)
- …referrals to senior members of the team where necessary * Obtain relevant policies, review policy wordings to validate coverage for claims and escalate any ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...Develop a working knowledge of the legal frameworks and claims handling practices relevant to the jurisdictions in which… more
- City of New York (New York, NY)
- …the following: - Supervise the daily work of claim specialists, coordinate their work, and review claims submitted by staff to ensure they are complete, and that ... employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume… more
- City of New York (New York, NY)
- …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... review and completion of staff in the Supplemental Nutritional Assistance Program- Claims and Recovery program. - Review and maintain statistical reports on… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more
- Northeast Family Services (Brooklyn, NY)
- …needed + Communicate with payers, third party vendors and patients in regard to claims , payments, and outstanding balances + Review explanation of benefits to ... Northeast Family Services is currently seeking a Billing Specialist to join their growing team! NFS is...variety of daily tasks, including preparing clean and timely claims submissions, resolution of denials from payers, posting of… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality… more
- City of New York (New York, NY)
- …and operations, DEP is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office. BLA's staff provide critical ... is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position,...specialists in the Litigation Support unit, and includes conducting review of their work. - Testify in depositions and… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....is seeking qualified candidates for the position of Claim Specialist in the Litigation Support Unit. This position, with… more
- Mount Sinai Health System (New York, NY)
- …coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Specialist Department Quality Management Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... JC's Web Submissions of Investigation Reports (WSIR).4. Attend the monthly Incident Review Committee meetings; develops and maintains meeting minutes for all open… more
- Educational Alliance, Inc. (New York, NY)
- …and civic engagement. The Role: Reporting directly to the Billing Manager, the Specialist will perform billing functions for the Center for Recovery and Wellness ... team in A/R functions and is responsible for maintaining claims and receivables reports for all billable services at...Support the billing team with all billing functions + Review all Millin billing/AR reports for accuracy, + Assist… more
- Walgreens (Asbury Park, NJ)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …on to pursue our mission at MSK and around the globe. Please review important announcements about vaccination requirements and our upcoming EHR implementation by ... for MSK employees. Job Description Exciting Opportunity at MSK: Patient Billing Specialist Are you passionate about providing a strong patient experience and possess… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Investigator Specialist Department Quality Management Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... completed OPWDD 149s prior to submission to the IRC Committee for review .8. Completes IRC Committee recommendations and follow-up within mandated timeframes. 9.… more
- AECOM (New York, NY)
- …AECOM has a position available for a Commercial Manager / Contracts Specialist to join our Transportation Construction Business Line supporting large multi-year ... packages working in conjunction with MTA C&D procurement personnel. Review the contract documents and validate the justification for...to MTA C&D + Maintain a file of any claims and delays, along with associated costs and causes… more
- City of New York (New York, NY)
- …one (1) Principal Administrative Associate II to function as Field Eligibility Verification Specialist in its Case Integrity and Eligibility Division, who will: - ... Review and analyze Medical Assistance Program (MAP) duplicate Client...Technology Services (ITS) computer printouts relating to MAP reimbursement claims . - Work on various MAP projects. - Conduct… more
- VNS Health (Manhattan, NY)
- …resolution and execution of the plan's fiduciary responsibilities. Prepares records for physician review as needed. + Conducts review of requests for prior ... Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations. + Collaborates with professionals,… more