- CRC Insurance Services, Inc. (NY)
- …**Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison between ... insured and insurance carrier to report, track and manage claims process. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a summary of the essential functions… more
- Carrington (Albany, NY)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... action occurs. + Respond to and make all corrections identified during the Quality Review Process within 24 hours of receipt. + Responsible for learning new skills… more
- CDPHP (Latham, NY)
- …diploma or GED required. + Minimum of one (1) year experience in health care claims review and adjudication to payment/denial utilizing CPT-4, ICD 10 and HCPCS ... preferred. Strong PC skills and Microsoft Windows and working knowledge with on-line claims processing and procedural review highly preferred. + Experience with… more
- Stony Brook University (East Setauket, NY)
- …include the following, but are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up on rejected ... Revenue Specialist **Position Summary** At Stony Brook Medicine, a...and collection agencies. + Identify issues and patterns with claims /insurance companies and review to increase revenue… more
- Access: Supports For Living (Middletown, NY)
- …the resolution of identified revenue cycle billing issues + Handling billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing + ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Oct...process and achieving resolution through coordination and reconciliation + Review and work claims in the clearinghouse… 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 ... and related health plan functions such as member services, claims , and the referral process. As well as functions...to the Health Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. +… more
- Sedgwick (Albany, NY)
- …Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client ... claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical...rationale. + Completes medical review of all claims by reviewing medical documentation received and applying practical… more
- Travelers Insurance Company (New York, NY)
- …As a Technical Specialist , you are responsible for handling complex, high-exposure claims . In this technical role, you will leverage your background in claims ... Will You Do?** + Independently manage a caseload of Construction Liability claims . + Conduct thorough investigations, including policy review , liability,… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS) (Multiple Positions), Box ... Department (NYSED) is seeking candidates for multiple Education Finance Specialist 1 positions in the Office of State Aid...the web-based SAMS software program to perform the annual review of school district State Aid claim submissions to… more
- Mount Sinai Health System (New York, NY)
- …in analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department ... **Job Description** The Procedural Billing Specialist I is responsible for multiple components of...Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and… more