- 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
- 32BJ Benefit Funds (New York, NY)
- …Range: 52763.36 To 54964.76 (USD) Annually Job Title: Member Services Representative ( Benefits Specialist ) Extended Hours * *Differential Pay Added for Working ... Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call...will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims , and Pension related issues.… more
- Molina Healthcare (Syracuse, NY)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and… more
- ConvaTec (Massapequa, NY)
- … claims . + Reads and interprets insurance explanation of benefits . Maintains specialized knowledge in insurance processes and guidelines, including authorizations ... by a promise to be forever caring. Our solutions provide a range of benefits , from infection prevention and protection of at-risk skin, to improved patient outcomes… more
- CVS Health (Albany, NY)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- ConnextCare (Pulaski, NY)
- HR Benefits Specialist Pulaski, NY (http://maps.google.com/maps?q=61+Delano+St.+Pulaski+NY+USA+13142) Description Basic Function: The Benefits Specialist ... Act as primary point of contact for all employee benefit and Leave questions 5. Coordinate benefits ...Reports, maintain OHSA reporting logs 18. Oversee Worker's Compensation claims 19. Assign and track completion of all annual… more
- Zurich NA (New York, NY)
- Underwriting Specialist OR Executive Underwriter- MM Private Equity 126012 Zurich Middle Markets has delivered double-digit growth over the last four consecutive ... Private Equity team in the New York City Office and hire an experiencedUnderwriting Specialist OR Executive Underwriter. In this role, you will serve as a customer… more
- Northwell Health (New Hyde Park, NY)
- …management (UM) criteria, and evidence-based drug therapy guidelines, and overseeing pharmacy benefit claims adjudication to match formulary intent. This role ... **Req Number** 171104 **Job Description** The Clinical Pharmacy Specialist is responsible for the development, implementation, and...management (PA, ST, QL) criteria development + Experience with benefit design, claims data analysis, and drug… more
- Racker (Ithaca, NY)
- …of benefits -related data, including PPACA oversight. + Assists employees regarding benefits claim issues and plan changes. + Assists with distributing all ... people know they belong. We're looking for a detail-oriented and empatheticHR Benefits Specialistto help support our staff, who support individuals with disabilities… more
- Zurich NA (Queens County, NY)
- Underwriter OR Underwriting Specialist - Middle Market 128900 Zurich Middle Markets has delivered double-digit growth over the last four consecutive years, and we ... work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining… more