- 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 ... the applicable plan documents and policies. #li-am4 2551355 Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and… more
- MetLife (Oriskany, NY)
- …pending, ongoing and appeal reviews. . Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... proofs are needed to make a reasonable and logical claims determination based off the information available. . Collaborates...conduct information gathering to be able to articulate the claims decision upon the completion of an evaluation, as… more
- Zurich NA (New York, NY)
- …CA + New York, NY **Job Responsibilities:** Under moderate supervision, the **Auto Litigation Claims Specialist II ** will manage commercial line auto ... Litigated Claims Specialist , Auto 118693 Zurich North America is currently hiring a Litigation Claims Specialist to join our Auto Bodily Injury team. At… more
- City of New York (New York, NY)
- …Assistant Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and ... Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate… 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...including revenue and rate codes in addition to category II coding for our value base payment arrangements. SPECIFIC… more
- Zurich NA (New York, NY)
- Senior Underwriting Specialist (Level II or III) - POP 119486 Invest your career with an industry you can bank on Insurance! We are looking for Financial ... Institutions Underwriter (Level II or III) team to work from one of...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- The Institute for Family Health (New Paltz, NY)
- REVENUE CYCLE SPECIALIST II Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full Time Education Level High School Salary ... Category Admin - Clerical Description SUMMARY: The Revenue Cycle Specialist II is cognizant of the philosophy,...on a daily basis for denials and short paid claims . + Reviews and processes all Explanation of Benefits… more
- Spectrum Health and Human Services (Orchard Park, NY)
- …information into the EHR within a 48 hour period and verifies accuracy, staging claims to correct payers or private fee + Confirms and enters private fee information ... updates to a clients chart and/or service orders so claims are billable + Processes Medicaid and/or 3rd Party...are billable + Processes Medicaid and/or 3rd Party Payer claims on a weekly or bi-weekly basis generating claim… more
- M&T Bank (Getzville, NY)
- …supporting documents and mail to attorneys. + Prepare and submit Proof of Claims (POC's) to the court, including supporting documents. + Creates payment coupons and ... G/L tickets from trustee disbursements, arranging overpayments to trustee. + Review and verify "Summons and Complaint" from attorneys: Obtain signature from Workout or Liaison and send back to attorney. + Prepare ad hoc reports from systems, at management's… more
- Guthrie (Binghamton, NY)
- …payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II … more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but ... (EBEW) and related worklists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… more
- University of Rochester (Rochester, NY)
- …and location. Correctly identifies diagnosis codes and charges are appropriate for claims to be effectively released and submitted to the assigned insurance ... carrier(s). - Troubleshoots any problems within billing system that prevents claims from being released for acceptance by insurance carrier(s). Identifies cause of… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... & Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant Commissioner...Qualification Requirements: To be assigned to Assignment Level (AL) II , candidates must have one year of experience at… more
- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass determining ... to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist , Credentialing Operations team collaborates with the Provider Data… more
- City of New York (New York, NY)
- …Eligibility Verification (BCIEV) is recruiting for one (1) Principal Administrative Associate II to function as Field Eligibility Verification Specialist in its ... Evaluate Information Technology Services (ITS) computer printouts relating to MAP reimbursement claims . - Work on various MAP projects. - Conduct surveys and special… more
- MTA (New York, NY)
- …Customer Service Specialist I (TA): $46,271 - $60,382 Transit Customer Service Specialist II (TA): $56,852 - $69,791 (New Hire Rate: $49,433) OA: Transit ... I (OA): $47,374 - $61,820 (New Hire Rate: $41,193) Transit Customer Service Specialist II (OA): $56,852 - $69,791 (New Hire Rate: $49,433) Responsibilities:… more
- City of New York (New York, NY)
- …PERMANENT EMPLOYEES IN THE TITLE AND COMPARABLE PERMANENT CIVIL SERVICE TITLES OF: Contract Specialist II , Procurement Analyst II , and Staff Analyst II ... limited to processing purchase orders and contracts and ensuring claims and invoices are processed in a timely manner....NOTES: To be eligible for placement in Assignment Level II , individuals must have, after meeting the minimum requirements,… more
- MTA (Brooklyn, NY)
- …Posted: Dec 23, 2024 Description Job Information: Title: Tests and Measurement Specialist First Date of Posting: 12/23/2024 Last Date of Filing: 01/31/2025 ... I (OA): $68,962 - $81,642 (Rep by TWU) ATMA II (TA): $76,577 - $85,288 ATMA II ...$90,511 - $117,195 (Rep by TWU) Test and Measurement Specialist (OA/TA): TM Spec I (TA): $65,954 - $78,079… more
- University of Rochester (Rochester, NY)
- …Supervision and Direction Exercised: The Billing and Charge Correction Specialist is responsible for self-monitoring performance on assigned tasks, following ... judgment: 35% For hospital billing: - Review Coverage Manager II work queues. Review payer coverage changes made at...correct dollar amount charged) to create compliant and billable claims for service. For professional billing: - Verify that… more
- City of New York (New York, NY)
- …SERVICE TITLES SUCH AS PRINCIPAL ADMINISTRATIVE ASSOCIATE III, AND ASSOCIATE CONTRACT SPECIALIST Job Description: The Commission on Human Rights (CCHR) is seeking to ... Through its Law Enforcement Bureau (LEB), the Commission accepts claims filed by the public, and has the power...NOTES: To be eligible for placement in Assignment Level II , individuals must have, after meeting the minimum requirements,… more