- Healthfirst (NY)
- …Diploma or GED equivalent + Direct experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, ... system set-up, etc + Strong communication skills (both verbal and written) + Ability to work collaboratively, confidently and influentially various levels of staff and clients + Excellent organizational skills + Demonstrated ability to focus on the most… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 168166 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? ... FlexStaff is seeking a dynamic Claims Management Specialist for our client to...client to oversee their Medicare, Medicaid, and Out-of-Network Insurance operations in beautiful Chappaqua, NY. If you thrive in… more
- Air National Guard Units (Westhampton Beach, NY)
- …32 EXCEPTED SERVICE POSITION. This National Guard position is for a INTELLIGENCE OPERATIONS SPECIALIST , Position Description Number D166000 and is part of the ... meet the criteria for appointment of annuitants. Responsibilities As a INTELLIGENCE OPERATIONS SPECIALIST , GS-0132-11, you will perform specialized duties and to… more
- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more
- Northwell Health (New York, NY)
- …This role is responsible for managing all aspects of financial billing operations including cosmetic surgery billing, out-of-network insurance claims , in-network ... analytical skills, and a commitment to delivering high customer service. Billing & Claims Management + Accurately process billing and claims for medical and… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Billing Specialist assists with the various activities of the pharmacy operations ... not requiring the professional judgment of the pharmacist. The Billing Specialist is primarily responsible for completing the billing of both pharmacy and medical … more
- City of New York (New York, NY)
- …that all DEP's legal needs are addressed. Given DEP's extensive infrastructure and operations , DEP is involved in a significant amount of litigation and claims ... Comptroller's Office. BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position, with some latitude… more
- FlexStaff (Bronx, NY)
- … works closely with various key stakeholders, including business development, clinical, claims operations , compliance, and finance, to track and monitor provider ... **Req Number** 169759 FlexStaff is hiring a Provider Contract Specialist for one of our clients. The Provider Contracting Specialist is responsible for the… more
- Molina Healthcare (Rochester, NY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... unresolved errors issued on daily transactional audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of… more
- Family and Children's Association (Mineola, NY)
- Benefits Specialist /HR Administrator Location: Garden City, NY | Schedule: Full Time, 35 hours per week| Status: Non-Exempt |Salary: $50,000-55,000/Annually The ... Opportunity Family and Children's Association (FCA) is seeking a Benefits Specialist /HR Administrator who will oversees and coordinate human resources functions… more