• Claim Specialist

    City of New York (New York, NY)
    Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... Environmental Protection (DEP) enriches the environment and protects public health for all New Yorkers by providing 1.1 billion...is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office.… more
    City of New York (05/14/25)
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  • Collections and Eligibility Specialist

    YAI (Manhattan, NY)
    …Functions & Responsibilities + Reviews and interprets patient eligibility and claims data from various sources (explanation of benefits, remittance statements, ... collections reports, etc.) to assess the correctness of claims submitted for processing, identifying and communicating discrepancies, issues and/or missing… more
    YAI (05/23/25)
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  • Clinical Risk Management Specialist

    Rochester Regional Health (Rochester, NY)
    …Week: 40Schedule: Monday - Friday, 8am - 4:30pmSUMMARY The Clinical Risk Management Specialist plays a pivotal role in enhancing patient safety and improving the ... Patient Safety, Patient Relations, Security, Finance, Regulatory, Compliance, Ethics, Claims /Insurance, and Legal) to integrate risk management principles into daily… more
    Rochester Regional Health (05/29/25)
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  • CBO Contract Reimbursement Specialist

    Mount Sinai Health System (New York, NY)
    **Job Description** This role's primary focus is on assisting Mount Sinai Health Partners, FPA Departments, Network Practices, and Revenue Managers, with key aspects ... payer policies, contract language, contract negotiations, CMS fee schedule updates, claims submission and appeals, claims adjudication and coverage policies,… more
    Mount Sinai Health System (05/29/25)
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  • Billing Specialist

    The Wesley Community (Saratoga Springs, NY)
    …career that truly makes a difference, we invite you to apply for the Billing Specialist position at Wesley Health Care Center. We look forward to meeting you! ... Time Day | Robust and comprehensive benefits package! Billing Specialist for Skilled Nursing Facility Full Time | Days...their families? This position is integral to the financial health of our organizations and requires a highly organized… more
    The Wesley Community (05/30/25)
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  • Billing & Collections Specialist

    Outreach Development Corporation (Richmond Hill, NY)
    …helps people address the issues stemming from substance use and behavioral health disorders by providing the highest quality, life-changing treatment, training and ... potential by developing and delivering the highest quality evidence-based behavioral health services and training. For more information, please visit www.opiny.org.… more
    Outreach Development Corporation (05/19/25)
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  • Senior Claim Benefit Specialist - Stop Loss…

    CVS Health (Amherst, NY)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and… more
    CVS Health (04/30/25)
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  • Estimate Review Specialist Sr. (Repair…

    Sedgwick (New York, NY)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr. (Repair Solutions) **PRIMARY PURPOSE:** To review all estimates and ... + Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
    Sedgwick (04/24/25)
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  • Eligibility Specialist

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting ... 348.2; 348.3 BFI is recruiting for (1) one Eligibility Specialist III to function as an Eligibility Worker, who...other means for referral to the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP CR). - Review claims more
    City of New York (05/14/25)
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  • Benefits Specialist - Human Resources

    Arnot Health (Elmira, NY)
    …4. Advises and assists employees with interpretation and application of Arnot Health benefits (ie claims processing, waiting period, qualifying events, covered ... Benefits. DUTIES AND RESPONSIBILITIES: 1. Demonstrates thorough knowledge of Arnot Health benefit plans, retirement plans, and leave programs to provide general… more
    Arnot Health (05/31/25)
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