- 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
- 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
- Cognizant (Albany, NY)
- …ensuring all mandated government and state regulations are regularly met. 2. Processing claims for multiple plans with automated and manual differences ... **Experience:** Minium of two to three years of Medicaid and or Commerical ** claims payer** processing experience. **Technical Competencies:** 1. Ability to work… more
- Sedgwick (Albany, NY)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY License Required **At least 2 years… more
- BrightSpring Health Services (Uniondale, NY)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician experience and/or knowledge of ... PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make...plans + Prepares and maintains reports and records for processing + Performs other tasks as assigned Qualifications Education/Learning… more
- Axis (New York, NY)
- …environment * Ability to collaborate with team members to ensure timely and efficient processing of claims * Evidence based problem solving mindset * Continuous ... Claim Specialist - Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims Location: New York...Job Family Grouping: Reinsurance Claims Job Family: Claims Location: New York Hiring Manager: Marina Kaufman Proposed… more
- University of Rochester (Rochester, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . Follows established procedure for missing insurance ... expertise of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative II is responsible for working across the… more
- Axis (New York, NY)
- …payments, ensuring these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting Ensure ... analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals to… more
- CenterLight Health System (NY)
- …Validate Diagnosis-Related Group (DRG) grouping and (re)pricing outcomes presented by the claims processing vendor to ensure accuracy. + Coordinate with Finance ... + Proficiency in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software. + Effective oral, written, and… more
- ManpowerGroup (New York, NY)
- …Provide insights into process improvements to ensure more efficient and compliant claims processing . + Internal Controls: Monitor and test internal controls ... Wells is seeking an experienced **Insurance Auditor with Life Claims ** expertise to join our team. The successful candidate...and other relevant materials to assess claim validity and processing . + Risk Management: Identify risks related to claim… more
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