- Axis (New York, NY)
- …part in the selection process. About the Team AXIS is hiring a Claims Specialist , Health Care Claims , for its North America Claim Team. This role ... involves managing primary and excess healthcare liability claims for AXIS US policies. How does this role...which includes medical plans for you and your family, health and wellness programs, retirement plans, tuition reimbursement, paid… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the claims administration system. The incumbent processes and adjudicates Long-Term Care claims . Essential Accountabilities: Level I * In accordance with ... processing of nursing home, assisted living facility and home care claims . * Obtains telephone verification from...One (1) year of experience in a Level I Claims Specialist role. * Adept at multi-tasking… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... sick leave laws, short-term disability and optional long-term disability, health savings account, health care ...and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you have experience… more
- Kelly Services (Menands, NY)
- …local nonprofit is seeking a skilled and detail-oriented Insurance and Claims Specialist to support a public health assistance program. This role is ... Claims Specialist Location: Menands, NY (Onsite)...payment inquiries. + Process medical, dental, pharmacy, and home care claims in accordance with program policies.… more
- Molina Healthcare (Yonkers, NY)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties**… more
- Healthfirst (NY)
- …equivalent + Direct experience working with managed care operations and/or health plans + Claims experience including root-cause analysis, system set-up, etc ... not limited to new product implementation, regulatory initiatives, and other various health plan business objectives + **_Serving as an advocate for Hospital… more
- CDPHP (Latham, NY)
- …High school diploma or GED required. + Minimum of one (1) year experience in health care claims review and adjudication to payment/denial utilizing CPT-4, ... The incumbent will work closely with all departments such as Member Services, Claims Operations, Provider Relations, Health Care Network Strategy,… more
- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Patient Care Specialist , under the supervision of Supervisor, Operations, assists ... requiring the professional judgment of the pharmacist. The Patient Care Specialist is primarily responsible for incoming...communication skills and an aptitude for working with other health care professionals. + Ability to lift… more
- Mount Sinai Health System (New York, NY)
- …**Qualifications** + Associates Degree preferred + 5 years experience in medical billing or health claims , with experience in IDX billing systems in a health ... problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly...all people, everywhere, by taking on the most complex health care challenges of our time -… more
- Northwell Health (New Hyde Park, NY)
- …programs for the staff and pharmacy students. + Provides educational programs for health care staff regarding medication use; provides training as measured by ... **Req Number** 171104 **Job Description** The Clinical Pharmacy Specialist is responsible for the development, implementation, and...a significant portion (4+ years) directly in a managed care organization, Pharmacy benefit manager, or health … more
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