- Axis (New York, NY)
- …for candidates taking part in the selection process. About the Team AXIS is hiring a Claims Specialist , Health Care Claims , for its North America Claim Team. ... Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding...or contentious claims . Leading initiatives to enhance claims processing efficiency and accuracy within the… 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
- New York State Civil Service (Melville, NY)
- …but are not limited to:* Oversee all aspects of workers' compensation claims processing from inception to closing.* Initially determine the compensability ... NY HELP Yes Agency Insurance Fund, State Title Claims Services...eligible titles include but are not limited to: Administrative Specialist Trainee 2, Claims Services Representative DB… more
- CDPHP (Latham, NY)
- …preferred. Strong PC skills and Microsoft Windows and working knowledge with on-line claims processing and procedural review highly preferred. + Experience with ... + Demonstrated ability to determine, analyze and solve problems related to benefits, claims appeals, claims pricing/ processing by utilizing all applicable… more
- Stony Brook University (Commack, NY)
- …experience working in a medical and/or office setting. Previous medical claims processing experience. **Preferred Qualifications:** Medical coding certification. ... Claims Processor **Required Qualifications (as evidenced by an...WTCHP program billed in error, program billed as secondary insurance , out of network providers billed in error. +… more
- Access: Supports For Living (Middletown, NY)
- …identified revenue cycle billing issues + Handling billing cycle review procedures for pre- processing (scrubbing) of weekly claims processing + Analyze, ... and timely claim batch creation, submission, and uploading of claims with providers and insurance companies, including...billing and processing program claims for accuracy and completeness; submit claims … more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist **PRIMARY PURPOSE** : To analyze complex or ... containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Communicates claim action/ processing with… 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
- 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...in IDX billing systems in a health care or insurance environment, and strong familiarity with ICD/CPT coding +… more
- Rochester Regional Health (Rochester, NY)
- … Claims and Appeals Processing : Submits and follows up on insurance claims ; resolves denials and rejections; prepares appeal letters with proper ... actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health),… more