- Zurich NA (New York, NY)
- Sr. Claims Specialist , Worker's Compensation 123309 Zurich is currently looking for a Senior Workers Compensation Claims Professional with West Virginia ... within authority limit by estimating and validating value of claims . + Negotiate settlement of claim by...value of claims . + Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available… more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need.… more
- Axis (New York, NY)
- …selection process. 'Key Duties and Responsibilities: * Excels in best practices claim environment, thoroughly documenting the claim process * Conducts ... and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes such strategy on behalf of the… more
- CVS Health (Amherst, NY)
- …challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and broker ... and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will reconcile and resolve discrepancies between the amount… more
- Nestle (Bohemia, NY)
- …for patients and consumers. **Job Description:** The Customer Solutions & Claims Supervisor (Medical Nutrition) will provide overall leadership to the Nestle ... all activities performed by the Customer Solutions Associates and Specialist within defined Service Level Agreement. * Lead the...Service Level Agreement. * Lead the Customer Solutions & Claims team to ensure they provide the highest quality… more
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Mar 20, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position...throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim … more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the ** Senior Revenue Cycle Specialist ** will act as an operational leader ... but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding departmental and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The ... Senior Billing Specialist is responsible for multiple...these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution.… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical ... audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital...Ability to ensure that clinical information translates correctly into claim coding compliance with requested data set. Ability to… more
- Molina Healthcare (Syracuse, NY)
- …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
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