- City of New York (New York, NY)
- …Office of the Corporation Counsel and other City agencies to investigate and resolve claims pre-litigation. The Claim Specialist II - Personal Injury Liability ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....from an accredited college or university; or 2. An associate degree or 60 semester credits from an accredited… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to business analysis. . Intermediate knowledge of PC, software, auditing tools and claims processing systems. Level II (in addition to Level I Qualifications) ... to Level II Qualifications) . Eight (8) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for hospital… more
- Zurich NA (New York, NY)
- Property Underwriter (Senior - Level II or Executive Level III 130069 Zurich is seeking a Property Underwriter (Senior Property Underwriter (Level II ) or ... at either the Property Underwriter (Senior Property Underwriter (Level II ) or Executive Property Underwriter (Level III)The hiring manager...and 6 or more years of experience in the Claims or Underwriting Support area OR * Zurich Certified… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …with the arrangement of services as is deemed necessary. + Evaluates submitted claims to determine if services billed and provided are consistent with the approved ... claim payment to encourage timely submission and adjudication of claims within company and State time service standards. +...+ Performs other functions as assigned by management. Level II - In addition to the essential accountabilities in… more
- Healthfirst (NY)
- …+ **Conduct moderately complex to complex quality audits of provider claims , pre-payments and post-payments including high-dollar and specialized claims ... to ensure the quality of the network.** + **Review and investigate claims and encounters for medical, facility, pharmacy, dental and vision services including… more
- Centene Corporation (Getzville, NY)
- …in database + Assist in Corporate audit activities or requests for claims provider set up **Education/Experience:** High school diploma or equivalent. Associate ... 's degree in related field preferred. 3+ years of provider data or network administration experience, preferably in managed care. Proficient in Microsoft Access and Excel applications. Experience with data management in large databases, reporting, and analysis… more
- University of Rochester (Rochester, NY)
- …party payer issues. **ESSENTIAL FUNCTIONS** + Reviews reports of unbilled cash claims , self-pay plans not final billed, hold bill worklists, statement edits, credit ... agency referrals. + Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + Associate 's degree and 2 years of relevant experience required + Or equivalent… more
- RailWorks (New York, NY)
- …counsel and claims consultants, as necessary. Compliance + Assists the Associate General Counsel in the administration of the compliance requirements for the ... / per year Position Summary The Project Counsel ("Counsel") reports directly to the Associate General Counsel for LK Comstock & Company ("LKC" or "Company"), with a… more
- City of New York (New York, NY)
- …Description APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE Family Independence Administration's provides temporary help ... responsible specialized administrative work supervising the functions of the City-wide Claims Units and/or supervising the functions of the City-wide Special… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...business experience, preferably in a healthcare setting; **or** an Associate 's degree and at least 6 months of business… more
Recent Jobs
-
Instructor Pool - : Civil and Construction Engineering
- Oregon State University (Corvallis, OR)
-
Outpatient Surgery Coder
- University of Washington (Columbus, OH)
-
Senior Manager Creative Design
- The Goodyear Tire & Rubber Company (Akron, OH)
-
Quality Lab Supervisor
- Leprino Foods (Roswell, NM)