- BGB Group (New York, NY)
- …data integration + Experience with Google BigQuery, Cube.dev, and GCP products for claims data processing + Proficient in Python for analytics and visualization ... + Experience with Google BigQuery, Cube.dev, and GCP products for claims data processing + Proficient in Python for analytics and visualization + Strong… more
- FlexStaff (New York, NY)
- …time off. In this role you will be ensuring timely and accurate claims processing , managing denials, and assisting with billing-related reporting and audits. ... office. Requirements: * 5+ years of experience in medical billing and claims processing , and insurance follow-up. * Certification in medical billing and coding… more
- Molina Healthcare (Yonkers, NY)
- …+ Ensure that provider information is loaded accurately to allow for proper claims processing , outbound reporting and directory processes. + QNXT **JOB ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims… more
- Molina Healthcare (Rochester, NY)
- …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- OLV Human Services (Lackawanna, NY)
- …operations. A critical part of the role involves evaluating insurance coverage, managing claims processing , and ensuring all aspects of patient care are ... with Finance to ensure patient charts are updated appropriately, if claims are denied/rejected. + Implement and maintain systems for insurance verification,… more
- Highmark Health (Albany, NY)
- …**EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- City of New York (New York, NY)
- …of medical consultation appropriate to the circumstances of the cases. Reviews claims for processing voluntary awards of workers' compensation benefits. Trains ... 5141. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and… more
- Healthfirst (NY)
- …Finance, or Business Administration from an accredited institution preferred. + Certification in claims processing or related area (eg, CPC, AIC) WE ARE AN ... Responsibilities:** + Oversee the enrollment process, ensuring timely and accurate processing of new and modified enrollments, renewals, and terminations. +… more
- MetaOption, LLC (Hicksville, NY)
- …organization. + This role is vital for ensuring accurate patient billing, claims processing , and reimbursement for services provided by individual healthcare ... payment processors. + Troubleshoot system errors and resolve issues related to billing, claims , and reimbursement. + Provide on-call support on a rotating basis. +… more
- MVP Health Care (Rochester, NY)
- …availability to work full-time, virtual in Schenectady or Rochester + 2+ years claims processing or system configuration experience required + FACETS experience ... in every interaction **Your key responsibilities:** + Develop solutions leveraging claims automation and system enhancements to enable faster, more accurate… more