- MVP Health Care (Schenectady, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is the opportunity for you if you ... responsibilities:** + Using a PC /Microsoft Window environment, adjudicates claims with the aid of the Facets and Macess...all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge… more
- New York State Civil Service (Endicott, NY)
- …Representative 2, the incumbent will oversee all aspects of workers' compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Service Representative 1/Trainee 1/2 - NY HELPS...OR* A bachelor's degree and one year of experience processing Workers' Compensation or Disability Benefits including Paid Family… more
- Cognizant (Albany, NY)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the role:** As ... you need to have to be considered:** * A minimum of 1 year claims processing is required. * Knowledge of physician practice and hospital coding, billing and… more
- Cognizant (Albany, NY)
- …School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of ... payment and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures + Must be… more
- Molina Healthcare (Rochester, NY)
- …Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility ... and IPA. + 2 years supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting. **Preferred Education**… more
- Cognizant (Albany, NY)
- …duties as assigned by management. **Qualifications:** + A minimum of 1 year's claims processing experience is required. + Knowledge of physician practice and ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… 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
- MVP Health Care (Rochester, 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
- 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