- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....Set up No-fault claim files which includes issuing and processing NF2 application, confirming the City's involvement on the… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- CVS Health (Albany, NY)
- …Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… 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 ... Law. Examples of eligible titles include but are not limited to: Administrative Specialist Trainee 2, Claims Services Representative DB Trainee 2, Underwriter… more
- City of New York (New York, NY)
- …Assistant Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing . - Monitor and ... 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
- Robert Half Accountemps (Cheektowaga, NY)
- …a skilled and detail-oriented individual to join our team as a Billing/ Claims /Collections specialist in Cheektowaga, New York. This long-term contract position ... with internal teams and external partners to ensure efficient deduction processing , claim management, and exceptional communication. If you excel at problem-solving… more
- Access: Supports For Living (Middletown, NY)
- …identified revenue cycle billing issues + Handling billing cycle review procedures for pre- processing (scrubbing) of weekly claims processing + Analyze, ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Jul...billing and processing program claims for accuracy and completeness; submit claims … more
- Molina Healthcare (NY)
- …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ )… more
- Mount Sinai Health System (New York, NY)
- …Accounts Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly...timely payment of claims and collection. The Specialist works directly with the Department Administrator. Reports to… more
- Evolent (Albany, NY)
- …: This role works closely with our Evolent partners to support data management, claims processing , and other activities that are within scope. You will work ... Stay for the culture. **What You'll Be Doing:** The Specialist , Provider Data Management will be a dynamic role...Enrollment/Eligibility to ensure timely and accurate data loads and claims processing occurs. **What You'll Be Doing**… more
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