- 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
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... which supervises, mentors and coaches other colleagues. Responsibilities: + Review and service claims in accordance with...and policies. #li-am4 2551355 Aon is looking for a Claims Specialist II Do you have experience… more
- City of New York (New York, NY)
- …Department of Financial Services correspondence; 7) When appropriate, negotiate and settle claims within delegated monetary authority level; 8) 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
- Whitney Young Health Center (Albany, NY)
- Claims Coding Specialist (Req 100825) Albany, NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES: ... Responsible for reviewing medical claims prior to submission and following up on more...provision, patient case management, follow-up, and billing; Local Medical Review Policies (LMRP) for Medicare and Medicaid services; Medical… more
- Sedgwick (Buffalo, NY)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...Conducts or assigns full investigation to include complete coverage review and provides report of investigation pertaining to new… more
- Manhattan Beer Distributors (New York, NY)
- …with a high degree of accuracy * Participate in incident investigations and claims review meetings to support continuous improvement. * Support compliance with ... we want to be! Opportunity Awaits! About the Role: Claims Management * Investigate and process auto liability and...* Investigate and process auto liability and property damage claims , ensuring timely and thorough documentation. * Work with… more
- Lincoln Financial Group (Albany, NY)
- …for this opportunity. **Requisition #:** 74082 **The Role at a Glance** As an **LTD Claims Specialist ** , you will manage a workload of Long-Term Disability ... claims independently in accordance with established procedures and guidelines....in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- Insight Global (West Henrietta, NY)
- Job Description We are looking for a claims specialist ! Responsibilities include but are not limited to the following: Manages and identifies a portfolio of ... rejected claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks Researches, analyzes and appropriately resolves rejected … more
- Carrington (Albany, NY)
- **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all ... FHA home retention claims timely and accurately according to investor/insurer guidelines. Perform...hours of the receipt of the claim proceeds. + Review , follow-up and ensure the timely and accurate completion… 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
- Constructive Partnerships Unlimited (Manhattan, NY)
- QA/QA Review Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6269) Job Brief The QA/QI Review Specialist is responsible for completing internal… more
- Catholic Health Services (Melville, NY)
- …Catholic Health was named Long Island's Top Workplace! Job Details Responsible for the review of provider documentation and coding charge review errors as well ... Management coding. Ensure that the coding is appropriate prior to releasing the claims to be billed. Identify trends and opportunities for improved documentation and… more
- Elderwood (Buffalo, NY)
- Salary Starting at $18.00 / hour Overview Pharmacy Billing Specialist Starting Pay Rate : $18.00 / hour. Earn more based on Experience! Woodmark Pharmacy of NY is ... looking for an experienced, detail- oriented Pharmacy Billing Specialist to join our team and make a difference in the lives of our residents and their families.… more
- Robert Half Accountemps (New York, NY)
- …to manage increased workload * Manage Medicaid billing tasks * Adjust and resubmit claims as necessary * Research and review client accounts for accuracy and ... Description We are seeking a Medical Billing Specialist to join our FinTech team based in...Your primary responsibilities will include managing Medicaid billing, adjusting claims , and ensuring the accuracy of claim information input… 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
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS) (Multiple Positions), Box ... Department (NYSED) is seeking candidates for multiple Education Finance Specialist 1 positions in the Office of State Aid...the web-based SAMS software program to perform the annual review of school district State Aid claim submissions to… more
- Northeast Family Services (Bronx, 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
- CRC Insurance Services, Inc. (New York, NY)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department. **ESSENTIAL DUTIES… more
- New York State Civil Service (Albany, NY)
- …Agency People With Developmental Disabilities, Office for Title Contract Management Specialist 1 Occupational Category Other Professional Careers Salary Grade 18 ... Office for People With Developmental Disabilities (OPWDD) is seeking a Contract Management Specialist 1 to work in the Community Funding Unit within the Bureau of… more
- Travelers Insurance Company (Melville, 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