- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Taxpayer Services Specialist 1 (NY HELPS) Occupational Category Other Professional Careers Salary Grade 14 ... special projects as needed.* Ability to advocate cases at BCMS conferences and Small Claims Hearings and participate at hearings as a witness for the Department and… more
- Truecare Homecare Agency (Brooklyn, NY)
- …and caregivers experience the most excellent care. Position Title: Authorizations Specialist Location: Full-time Monday-Friday 9 am-5 pm on-site in Brooklyn, NY ... Position summary: The Authorizations Specialist handles all aspects of authorizations for patient services...patient authorizations, informing supervisor of any expired dates + Review and audit all authorizations for appropriate codes and… more
- Saratoga Hospital (Saratoga Springs, NY)
- HR Benefits Leave Specialist Salary Range: $21.78-$35.90/hr based on experience and qualifications About Saratoga Hospital At Saratoga Hospital, we've built a ... About the Role We're looking for a dedicated Leave Specialist to join our team and help us continue...for all leave of absence cases. Effectively coordinates all cases/ claims to include general administration, comprehensive case management and… more
- Outreach Development Corporation (Richmond Hill, NY)
- …companies regarding any issues with client account that may delay payment of services. + Review and work claims in the clearing house. This may include but not ... more information, please visit www.opiny.org. Position: Medical Billing & Collections Specialist Position: The medical billing and collections specialist … more
- Elderwood (Buffalo, NY)
- …Woodmark Pharmacy of NY is looking for an experienced, detail- oriented Pharmacy Billing Specialist to join our team and make a difference in the lives of our ... + Electronic billing of Medicare, Medicaid and Third Party Insurance pharmacy claims utilizing Framework LTC Pharmacy system. + Skilled nursing facility, assisted… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …may be assigned at any time with or without notice. Primary Responsibilities + Thorough review of claims and medical documentation. + Prepare cases for clinical ... Plan Solutions (BHPS) is seeking an experienced Claim Dispute Specialist skilled in investigating and resolving provider payment disputes...review . + Resolve and provide accurate and timely responses… more
- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. **Position Summary** Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- Molina Healthcare (Yonkers, NY)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting the member/provider through written… more
- Stony Brook University (East Setauket, NY)
- Patient Financial Experience Specialist **Position Summary** At Stony Brook Medicine, a **Patient Financial Experience Specialist ** will support the patient ... and collections and financial assistance. **Duties of a Patient Financial Experience Specialist ** **may include the following, but are not limited to:** + Provides… more
- Robert Half Accountemps (Rochester, NY)
- …the organization while supporting essential billing operations. Responsibilities: * Prepare, review , and submit accurate insurance claims in alignment with ... Description We are looking for a skilled Medical Billing Specialist to join our team in Rochester, New York....updates to financial records. * Follow up on unpaid claims , resolve discrepancies, and maintain account accuracy. * Communicate… more