- Amentum (Albany, NY)
- …approximately 80 countries across all 7 continents. **Defense Base Act (DBA) Claims Specialist :** Responsible for reporting Foreign (DBA), and Maritime ... of Labor. Under supervision, coordinates Defense Base Act (DBA) claims processing in support of successful ...assigned including the preparation and distribution of computer reports. ** Claims Specialist Requirements:** + 3-5 years of… more
- Molina Healthcare (Yonkers, NY)
- …Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate ... application. * Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund… more
- CHS Inc. (Albany, NY)
- …or Inver Grove Heights. We are looking for a Senior Business Operations Specialist , Oil Seed Processing to collaborate with cross-department team of colleagues ... Trade Execution team. + Address customer complaints immediately. Process quality claims promptly and provide timely and comprehensive responses to customers. Compile… more
- New York State Civil Service (White Plains, NY)
- …include, but are not limited to:* Oversee all aspects of workers compensation claims processing from inception to closing* Initially determine the compensability ... Law. Examples of eligible titles include but are not limited to: Administrative Specialist Trainee 2, Claims Services Representative DB Trainee 2, Underwriter… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and… more
- Rochester Regional Health (Rochester, NY)
- …actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), ... of medical terminology, physician fee schedules, DRGs, and reimbursement procedures. + Claims and Appeals Processing : Submits and follows up on insurance… more
- Cardinal Health (Albany, NY)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle ... AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist II contributes to Cardinal Health_** Account Receivable Specialist II is… 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
- Molina Healthcare (Albany, NY)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- New York State Civil Service (White Plains, NY)
- NY HELP Yes Agency Insurance Fund, State Title Administrative Specialist 1/Trainee 1/2 - NY HELPS Occupational Category Administrative or General Management Salary ... set up day one orientations.* Work with Property Services on badging, processing new hire paperwork, completing I-9 verifications and assisting with periodic audits.… more