- Centers Plan for Healthy Living (Staten Island, NY)
- …equivalent healthcare experience Preferred: Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred: ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- CVS Health (New York, NY)
- … processes analysis. Facilitate effective solutions related to adjudication and processing of pharmacy and vaccine/medical claims , maintaining current services, ... resolution for incidents reported through the Store Support center related to claim transactions, initiatives, and to support our store colleagues. The Retail… more
- DePaul (Depew, NY)
- …and Claims Manager to manage the organization's insurance procurement and claims program. This includes managing the reporting, processing , and adjustment of ... allocation of premiums by location etc. + Manage the reporting, processing , and adjustment of claims , including preparation and submission of notice of claims… more
- Robert Half Accountemps (Cheektowaga, NY)
- …work closely with internal teams and external partners to ensure efficient deduction processing , claim management, and exceptional communication. If you excel at ... skilled and detail-oriented individual to join our team as a Billing/ Claims /Collections specialist in Cheektowaga, New York. This long-term contract position offers… more
- Healthfirst (NY)
- …+ Assists in the development of strategic plans to ensure modern and efficient claims processing across the entire lifecycle with a focus on a unified, ... institution + Experience with Healthedge specifically with HRP implementation and claims processing + Prior experience with claims and provider payment… more
- Albany Medical Center (Albany, NY)
- …Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, ... + Knowledge in billing codes and EDI requirements. + Knowledge of electronic claims processing and edits. + Excellent decision-making skills, detail oriented,… more
- MVP Health Care (Schenectady, NY)
- …**Your key responsibilities:** + Mentor, support, and build a high-performing team within Claims Operations. + Supervise claims processing activities related ... improvement. To achieve this, we're looking for a Leader, Claims Support to join #TeamMVP. If you have a...+ Requires at least 3 years of health insurance claims experience. 1 year of supervisory experience or 2… more
- City of New York (New York, NY)
- …Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing . - Monitor and distribute cases in the Automation ... 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
- Elevance Health (Latham, NY)
- **Title: Claims Representative I (Health & Dental) - FEP** **Latham, NY** **Location:** This role enables associates to work virtually full-time, with the exception ... 9/8/2025** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Healthfirst (NY)
- …contract reimbursement terms, code sets (HCPCS, ICD10, DRGs, CPT, etc.), and claims processing practices WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants ... and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital… more